职业性哮喘还是工作加重性哮喘?]

Laura Macías Mora, María Ascensión Maestre Naranjo, Antonio José Pérez Pimiento, Cristina Oliver López, Natalia Angulo Mota, María Luisa Rodríguez de la Pinta
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引用次数: 0

摘要

目前,哮喘患病率有所上升,职业暴露似乎是导致这一增长的因素之一。“职业性哮喘”是指在工作场所接触某种物质引起的新发哮喘,而“工作加重性哮喘”是指先前存在的哮喘,然后在工作场所加剧。正确的诊断需要高度的怀疑指数,并建立症状与工作之间的时间关系。错误的诊断可能会给患者带来严重的社会经济后果。在西班牙,11月10日第1299/2006号皇家令(2018年5月4日修订)确立了其分类和官方认可的标准。在过敏过程的背景下,应考虑职业病因,职业卫生服务机构的职业医生可以作为顾问指导和管理这些病例。在本病例报告中,我们建立了职业性暴露与工人哮喘之间的联系,这导致了一系列步骤,最终导致其被接受为职业病。
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[Occupational Asthma or Work-exacerbated asthma?]
Currently there is an increase in the prevalence of asthma and it seems that occupational exposure is one of the factors contributing to this increase. "Occupational asthma" refers to new onset asthma induced by exposure to a substance in the workplace, whereas "workaggravated asthma" refers to pre-existing asthma that is then exacerbated in the workplace. A correct diagnosis requires a high index of suspicion and establishing a temporal relationship between symptoms and work. An incorrect diagnosis can lead to important socioeconomic consequences for the worker. In Spain, Royal Order 1299/2006 on 10 November (amended on May 4, 2018) establishes the criteria for its classification and official recognition. In the context of an allergic process, an occupational etiology should be considered and occupational physicians in an occupational healht service can serve as consultants to guide and manage these cases. In this case report we established an association between an occupational exposure and asthma in a worker which led to a series of steps resulting in its acceptance as an occupational disease.
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