@article{3bd8f2f211824bff8c1dd45931d9abb7,
title = "Allergic sinusitis and severe asthma caused by occupational exposure to locust bean gum: Case report",
abstract = "We present a case that highlights the difficulties with diagnosis and the dangers of occupational allergic sinusitis and asthma left unrecognized. We describe the case history of a man who experienced work-related symptoms 1 year after beginning work as a cheesemaker at a creamery, and whose respiratory symptoms progressively worsened over 16 years before an occupational cause of his asthma was identified. His initial discrete episodes of sinusitis and acute bronchitis evolved into persistent asthma of increasing severity with exacerbations requiring repeated emergency room treatment. The case described in our report emphasizes the importance of clinician diagnosis of OA, and subsequent removal from exposure, such that asthma severity does not progress to near-fatal or fatal asthma in the sensitized worker. As demonstrated by this case report, identification of an occupational cause of asthma relies on a high degree of suspicion and excellent detective work by the clinician.",
author = "Brie Hawley and Cummings, {Kristin J.} and Mohammed Mohammed and Dimmock, {Anne E.} and Rebecca Bascom",
note = "Funding Information: This work was supported by intramural funding from the National Institute for Occupational Safety and Health. Brie Hawley contributed to the conception of the work, interpreting the data for the work, drafting the work, final approval of the version to be published, and agrees to be accountable for all aspects of the work in ensuring that questions relating to the accuracy of any part of the work are appropriately investigated and resolved. Kristin Cummings and Rebecca Bascom contributed to the design of the work, acquiring and interpreting the data, revising the work critically for intellectual content, and final approval of the version to be published. Mohammed Mohammed and Anne Dimmock contributed to the acquisition and interpretation of the data used in the work. This work was supported by intramural funding from the National Institute for Occupational Safety and Health. The authors also thank Nicole Edwards for her assistance in the graphic display of data. This work was supported by intramural funding from the National Institute for Occupational Safety and Health. The authors obtained written informed consent from the patient described in this case report prior to publication. The authors declare no conflicts of interest. Steven Markowitz declares that he has no conflict of interest in the review and publication decision regarding this article. The findings and conclusions in this report are those of the authors and do not necessarily represent the views of the National Institute for Occupational Safety and Health. Mention of product names does not imply endorsement by NIOSH/CDC. Publisher Copyright: {\textcopyright} Published 2017. This article is a U.S. Government work and is in the public domain in the USA.",
year = "2017",
month = jul,
doi = "10.1002/ajim.22725",
language = "English (US)",
volume = "60",
pages = "658--663",
journal = "American Journal of Industrial Medicine",
issn = "0271-3586",
publisher = "Wiley-Liss Inc.",
number = "7",
}
