Occupational Asthma Reference
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Torrijos G, Rodriguez G, Perez V, Bartolome, Barragan P,
Occupational allergic respiratory disease (rinoconjunctivitis and asthma) in a cheese factory
worker,
Journal of Allergy and Clinical Immunology: In Pra,
2018;6:1416-1418,
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Keywords: cheese, oa, chymosin, new cause, rennet, omalizumab, cr, Spain
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Abstract
This is the first report of occupational IgE-mediated allergic respiratory disease caused by chymosin, an enzyme present in rennet used for the coagulation of milk in the production of cheese. The disease was severe and could be controlled only with omalizumab (decrease in symptoms, improvement in respiratory auscultation and spirometry), in addition to reducing exposure to the agent (use of mask) and pharmacological treatment (salmeterol/fluticasone, 500 µg/12 h and montelukast 10 mg/d).
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