[Occupational allergens as a cause of obstructive lung diseases. Early diagnosis and clinical aspects]. 1982

E Fuchs

Obstructive diseases of the respiratory tract caused by allergizing substances at the place of work must be classified as occupational diseases, provided certain conditions are fulfilled. The etiopathogenesis and special features of the clinical picture and diagnosis of occupationally conditioned allergic obstruction of the respiratory tract, previously known as bronchial asthma, are discussed. In contrast to "spontaneous" allergy, the occupational cause of the disease is due to often massive exposure to allergens at the place of work and the frequently aggressive potency of several industrial allergens, these being considered the actual "shaping" factors. The need for early diagnosis, as far as possible even at the initial "precursor" stage and during the manifestation of the so-called "equivalents", such as allergic conjunctivitis and rhinitis, is stressed. Treatment directed at removing the causes includes, fundamentally, prophylaxis against exposure (considering the time during which the allergens remain dormant without triggering an allergy); this obviously involves change of occupation or place of work, whereas specific treatment aimed at producing hyposensitization must remain an exception. The possibilities for prevention, chiefly from the medical point of view, are described.

UI MeSH Term Description Entries
D008173 Lung Diseases, Obstructive Any disorder marked by obstruction of conducting airways of the lung. AIRWAY OBSTRUCTION may be acute, chronic, intermittent, or persistent. Obstructive Lung Diseases,Obstructive Pulmonary Diseases,Lung Disease, Obstructive,Obstructive Lung Disease,Obstructive Pulmonary Disease,Pulmonary Disease, Obstructive,Pulmonary Diseases, Obstructive
D009784 Occupational Diseases Diseases caused by factors involved in one's employment. Diseases, Occupational,Occupational Illnesses,Disease, Occupational,Illnesse, Occupational,Illnesses, Occupational,Occupational Disease,Occupational Illnesse
D009787 Occupational Medicine Medical specialty concerned with the promotion and maintenance of the physical and mental health of employees in occupational settings. Industrial Medicine,Medicine, Industrial,Medicine, Occupational
D003888 Desensitization, Immunologic Immunosuppression by the administration of increasing doses of antigen. Though the exact mechanism is not clear, the therapy results in an increase in serum levels of allergen-specific IMMUNOGLOBULIN G, suppression of specific IgE, and an increase in suppressor T-cell activity. Allergen Immunotherapy,Allergy Shots,Hyposensitization Therapy,Immunotherapy, Allergen,Venom Immunotherapy,Immunologic Desensitization,Therapy, Hyposensitization,Allergen Immunotherapies,Allergy Shot,Desensitizations, Immunologic,Hyposensitization Therapies,Immunologic Desensitizations,Immunotherapy, Venom,Shot, Allergy,Venom Immunotherapies
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000485 Allergens Antigen-type substances that produce immediate hypersensitivity (HYPERSENSITIVITY, IMMEDIATE). Allergen
D001249 Asthma A form of bronchial disorder with three distinct components: airway hyper-responsiveness (RESPIRATORY HYPERSENSITIVITY), airway INFLAMMATION, and intermittent AIRWAY OBSTRUCTION. It is characterized by spasmodic contraction of airway smooth muscle, WHEEZING, and dyspnea (DYSPNEA, PAROXYSMAL). Asthma, Bronchial,Bronchial Asthma,Asthmas

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