Resumen
Definición
Anamnesis y examen
Principales factores de diagnóstico
- presença de fatores de risco
- exposição ocupacional a agentes sensibilizantes ou irritantes
- sintomas da asma que melhoram durante as férias
- início dos sintomas da asma durante um turno de trabalho
Factores de riesgo
- alto nível de exposição ao agente sensibilizante
- atopia
- fatores genéticos
- tabagismo
Pruebas diagnósticas
Primeras pruebas diagnósticas para solicitar
- espirometria
- radiografia torácica
- teste alérgico cutâneo por puntura
- hiper-responsividade brônquica inespecífica (HRBI)
- pico do fluxo expiratório (PFE) seriado
Pruebas diagnósticas que deben considerarse
- ensaio de IgE sérica específica
- teste de provocação de inalação específico (TIE)
Pruebas emergentes
- citologia de escarro induzido
- fração de óxido nítrico exalado (FeNO)
Algoritmo de tratamiento
induzida por agentes sensibilizantes
induzida por irritantes
asma sintomática
Colaboradores
Autores
Ryan Hoy, MB BS, MOEH, FRACP
Respiratory Physician
The Alfred Hospital
Melbourne
Victoria
Australia
Divulgaciones
RH is an author of a reference cited in the topic.
Susan M. Tarlo, MB BS FRCP(C)
Professor of Medicine
University of Toronto
Respiratory Physician
Toronto Western Hospital
Toronto
Ontario
Canada
Divulgaciones
SMT has received grant support from the Ontario Workplace Safety and Insurance Board (WSIB) and the Centre for Research Expertise in Occupational Disease (funded by Ontario Ministry of Labour). She has acted as a consultant for the Ontario Workplace Safety and Insurance Appeals Tribunal (WSIAT) and has provided clinical case assessments for WSIB. She has been a member of Task Forces for the European Academy of Allergy, Asthma and Clinical Immunology and an expert advisor to a committee of the European Respiratory Society. She is a member of the Occupational Disease Committee of the American Academy of Allergy, Asthma and Clinical Immunology (AAAAI). She has been an invited speaker at meetings of AAAAI and the American Thoracic Society. She is a coeditor of Current Opinion in Allergy and Clinical Immunology, and has received book royalties as coeditor of Asthma in the Workplace. SMT is an author of references cited in the topic.
Revisores por pares
Ware Kuschner, MD
Associate Professor of Medicine
Stanford University
Stanford
Staff Physician
US Department of Veterans Affairs
Palo Alto Health Care System
Palo Alto
CA
Divulgaciones
WK declares that he has no competing interests.
Karin Pacheco, MD
Associate Professor of Medicine
National Jewish Medical Centre
Denver
CO
Divulgaciones
KP declares that she has no competing interests.
Philip Harber, MD
Professor of Medicine
University of California
Los Angeles
CA
Divulgaciones
PH declares that he has no competing interests.
Agradecimiento de los revisores por pares
Los temas de BMJ Best Practice se actualizan de forma continua de acuerdo con los desarrollos en la evidencia y en las guías. Los revisores por pares listados aquí han revisado el contenido al menos una vez durante la historia del tema.
Divulgaciones
Las afiliaciones y divulgaciones de los revisores por pares se refieren al momento de la revisión.
Referencias
Artículos principales
Barber CM, Cullinan P, Feary J, et al. British Thoracic Society clinical statement on occupational asthma. Thorax. 2022 May;77(5):433-42.Texto completo Resumen
Tarlo SM, Balmes J, Balkissoon R, et al. Diagnosis and management of work-related asthma: American College of Chest Physicians Consensus statement. Chest. 2008 Sep;134(3 suppl):1S-41S. Resumen
Baur X, Sigsgaard T, Aasen TB, et al. Guidelines for the management of work-related asthma. Eur Respir J. 2012 Mar;39(3):529-45.Texto completo Resumen
Global Initiative for Asthma (GINA). Global strategy for asthma management and prevention. May 2025 [internet publication].Texto completo
American College of Radiology. ACR appropriateness criteria: occupational lung diseases. 2019 [internet publication].Texto completo
Artículos de referencia
Una lista completa de las fuentes a las que se hace referencia en este tema está disponible para los usuarios con acceso a todo BMJ Best Practice.
Diferenciales
- Asma exacerbada pelo trabalho
- Bronquite eosinofílica ocupacional
- Asma não ocupacional coincidente
Más DiferencialesGuías de práctica clínica
- Global strategy for asthma management and prevention
- Asthma: diagnosis, monitoring and chronic asthma management (BTS, NICE, SIGN)
Más Guías de práctica clínicaFolletos para el paciente
Asma em adultos: perguntas a fazer ao seu médico
Asma em adultos: o que é?
Más Folletos para el paciente
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