MRCEM Notes

Asthma: occupational

Patients may either present with concerns that chemicals at work are worsening their asthma or you may notice in the history that symptoms seem better at weekends / when away from work.

Exposure to the following chemicals is associated with occupational asthma:
  • isocyanates - the most common cause. Example occupations include spray painting and foam moulding using adhesives
  • platinum salts
  • soldering flux resin
  • glutaraldehyde
  • flour
  • epoxy resins
  • proteolytic enzymes

Serial measurements of peak expiratory flow are recommended at work and away from work.

Referral should be made to a respiratory specialist for patients with suspected occupational asthma.
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