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Editorials |

When Should Specific Occupational Challenge Tests Be Performed?Specific Occupational Challenge Tests

Susan M. Tarlo, MBBS, FCCP
Author and Funding Information

From the Department of Medicine and Dalla Lana School of Public Health, University of Toronto.

Correspondence to: Susan M. Tarlo, MBBS, FCCP, Toronto Western Hospital, EW7-449, 399 Bathurst St, Toronto, ON, M5T 2S8, Canada; e-mail: susan.tarlo@utoronto.ca


Financial/nonfinancial disclosures: The author has reported to CHEST the following conflicts of interest: Dr Tarlo was the chair of the American College of Chest Physicians consensus panel that developed the statement on the diagnosis and management of work-related asthma in 2008.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2013;143(5):1196-1198. doi:10.1378/chest.12-2776
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Extract

Occupational asthma (OA) resulting from sensitization at work has implications for the patient that include not only medical management but also changes at work to completely avoid further exposure to the causal agent and optimize asthma outcome.1-4 Occasionally, the workplace can remove the causative sensitizing agent, but often, this is not considered feasible. In a large company, the affected worker may be moved to a different location, to a job with no further exposure. However, in many cases, especially within smaller companies, OA results in the worker leaving the workplace. Despite support from workers’ compensation systems, OA has been associated with a significant negative psychosocioeconomic impact.5,6

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