What did dj allergies say to the nose

Diagnosis of LAA requires a detailed and comprehensive medical history. Therefore, an experienced physician who is knowledgeable regarding allergic and occupational diseases is best qualified to make the diagnosis. Significant elements of an occupational history are listed in Table 1 . The information should include demographic data about the individual worker’s present and past employment history; the nature, duration, and timing of the patterns of symptoms; and any potential risk factors for the development of LAA ( Bernstein ).

Although questionnaires can be extremely sensitive, they are not specific and cannot be used to make a diagnosis of LAA without confirmatory objective testing. In the case of occupational asthma due to other causes, there has been a poor correlation between the history and the diagnosis as confirmed by specific challenge testing ( Malo and Chan-Yeung ). It is significant to note that there is no standardized questionnaire available for diagnosing LAA. However, one example is provided ( Table 2 ), and a simplified version appears elsewhere in this volume ( Seward ).

Basic components of the questionnaire include employment and medical history ( Malo and Chan-Yeung ). Of specific importance is information regarding the task and jobs the employee performs that can be related to specific exposure levels. Previous employment, where the worker may own been exposed to laboratory animal allergens, is also significant. From the medical history, it should also be possible to determine whether there is any relation between symptoms experienced before, during, or after a specific exposure in the workplace ( Bernstein ; Malo and Chan-Yeung ).

Also of importance is the duration of symptoms after leaving the laboratory environment. Improvement of symptoms on weekends or while away from the exposure, particularly, adds credence to the possibility that exposure to laboratory animal allergens is the etiological agent. Improvement in symptoms while away from exposure may be a more sensitive question for establishing a work-related etiology than worsening of symptoms while at work. The information should also include dermatological symptoms; the presence or absence of systemic symptoms such as chills and fever; smoking history; preexisting history of allergy or asthma; and a family history of allergic diseases.

Table 1

Key elements of occupational history in the evaluation of occupational asthma a

  • Demographic information

    1. Personal data including sex, race, and age

    2. Name and address

    3. Educational background with number of school years completed

  • Employment history

    1. All other work processes and substances used in the employee’s work environment (a schematic diagram of the workplace is helpful to identify indirect exposure to substances emanating from adjacent work stations)

    2. Prior jobs at current workplace with description of occupation, duration, and identification of material used

    3. Current department and occupation description including dates begun, interrupted, and ended

    4. Employment preceding current workplace (including occupation descriptions and exposure history)

  • Symptoms

    1. Months or years of employment duration at current occupation before onset of symptoms

    2. Temporal pattern of symptoms in relation to work

    3. Immediate onset beginning at work with resolution soon after coming home

    4. Months or years of duration

    5. Nasal rhinorrhea, sneezing, lacrimation, ocular itching

    6. Categories

    7. Chest tightness, wheezing, cough, shortness of breath

    8. Immediate onset followed by recovery with symptoms recurring 4–12 hr after initial exposure to suspect agent at work

    9. Delayed onset beginning hr after starting work or after coming home

    10. Systemic symptoms such as fever, arthralgias, and myalgias

    11. Improvement away from work

  • Potential risk factors

    1. Atopic status

    2. Consistent history of seasonal nasal or ocular symptoms

    3. Family history of atopic disease

    4. Asthmatic symptoms preceding current work exposure

    5. Smoking history (including current smoking status and number of pack years)

    6. Confirmation by epicutaneous testing to a panel of common aeroallergens

    7. History of accidental exposures to substances such as heated fumes or chemical spills

  • Demographic information

    1. Personal data including sex, race, and age

    2. Name and address

    3. Educational background with number of school years completed

  • Employment history

    1. All other work processes and substances used in the employee’s work environment (a schematic diagram of the workplace is helpful to identify indirect exposure to substances emanating from adjacent work stations)

    2. Prior jobs at current workplace with description of occupation, duration, and identification of material used

    3. Current department and occupation description including dates begun, interrupted, and ended

    4. Employment preceding current workplace (including occupation descriptions and exposure history)

  • Symptoms

    1. Months or years of employment duration at current occupation before onset of symptoms

    2. Temporal pattern of symptoms in relation to work

    3. Immediate onset beginning at work with resolution soon after coming home

    4. Months or years of duration

    5. Nasal rhinorrhea, sneezing, lacrimation, ocular itching

    6. Categories

    7. Chest tightness, wheezing, cough, shortness of breath

    8. Immediate onset followed by recovery with symptoms recurring 4–12 hr after initial exposure to suspect agent at work

    9. Delayed onset beginning hr after starting work or after coming home

    10. Systemic symptoms such as fever, arthralgias, and myalgias

    11. Improvement away from work

  • Potential risk factors

    1. Atopic status

    2. Consistent history of seasonal nasal or ocular symptoms

    3. Family history of atopic disease

    4. Asthmatic symptoms preceding current work exposure

    5. Smoking history (including current smoking status and number of pack years)

    6. Confirmation by epicutaneous testing to a panel of common aeroallergens

    7. History of accidental exposures to substances such as heated fumes or chemical spills

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    Table 1

    Key elements of occupational history in the evaluation of occupational asthma a

  • Demographic information

    1. Personal data including sex, race, and age

    2. Name and address

    3. Educational background with number of school years completed

  • Employment history

    1. All other work processes and substances used in the employee’s work environment (a schematic diagram of the workplace is helpful to identify indirect exposure to substances emanating from adjacent work stations)

    2. Prior jobs at current workplace with description of occupation, duration, and identification of material used

    3. Current department and occupation description including dates begun, interrupted, and ended

    4. Employment preceding current workplace (including occupation descriptions and exposure history)

  • Symptoms

    1. Months or years of employment duration at current occupation before onset of symptoms

    2. Temporal pattern of symptoms in relation to work

    3. Immediate onset beginning at work with resolution soon after coming home

    4. Months or years of duration

    5. Nasal rhinorrhea, sneezing, lacrimation, ocular itching

    6. Categories

    7. Chest tightness, wheezing, cough, shortness of breath

    8. Immediate onset followed by recovery with symptoms recurring 4–12 hr after initial exposure to suspect agent at work

    9. Delayed onset beginning hr after starting work or after coming home

    10. Systemic symptoms such as fever, arthralgias, and myalgias

    11. Improvement away from work

  • Potential risk factors

    1. Atopic status

    2. Consistent history of seasonal nasal or ocular symptoms

    3. Family history of atopic disease

    4. Asthmatic symptoms preceding current work exposure

    5. Smoking history (including current smoking status and number of pack years)

    6. Confirmation by epicutaneous testing to a panel of common aeroallergens

    7. History of accidental exposures to substances such as heated fumes or chemical spills

  • Demographic information

    1. Personal data including sex, race, and age

    2. Name and address

    3. Educational background with number of school years completed

  • Employment history

    1. All other work processes and substances used in the employee’s work environment (a schematic diagram of the workplace is helpful to identify indirect exposure to substances emanating from adjacent work stations)

    2. Prior jobs at current workplace with description of occupation, duration, and identification of material used

    3. Current department and occupation description including dates begun, interrupted, and ended

    4. Employment preceding current workplace (including occupation descriptions and exposure history)

  • Symptoms

    1. Months or years of employment duration at current occupation before onset of symptoms

    2. Temporal pattern of symptoms in relation to work

    3. Immediate onset beginning at work with resolution soon after coming home

    4. Months or years of duration

    5. Nasal rhinorrhea, sneezing, lacrimation, ocular itching

    6. Categories

    7. Chest tightness, wheezing, cough, shortness of breath

    8. Immediate onset followed by recovery with symptoms recurring 4–12 hr after initial exposure to suspect agent at work

    9. Delayed onset beginning hr after starting work or after coming home

    10. Systemic symptoms such as fever, arthralgias, and myalgias

    11. Improvement away from work

  • Potential risk factors

    1. Atopic status

    2. Consistent history of seasonal nasal or ocular symptoms

    3. Family history of atopic disease

    4. Asthmatic symptoms preceding current work exposure

    5. Smoking history (including current smoking status and number of pack years)

    6. Confirmation by epicutaneous testing to a panel of common aeroallergens

    7. History of accidental exposures to substances such as heated fumes or chemical spills

  • Open in new tab

    Table 2

    Laboratory animal allergy questionnaire a

    Date._____ 
    Name:_____ 
    Supervisor:_____ 
    Department:_____ 
    Age:_____ Sex:_____ Male_____ Female 
    OCCUPATIONAL HISTORY
    Answer these questions about your present job: 
    Job title:_____ 
    Number of years employed at this facility:_____ 
    How numerous months/years at your present position?_____ 
    Brief description of duties_____ 
    Date._____ 
    Name:_____ 
    Supervisor:_____ 
    Department:_____ 
    Age:_____ Sex:_____ Male_____ Female 
    OCCUPATIONAL HISTORY
    Answer these questions about your present job: 
    Job title:_____ 
    Number of years employed at this facility:_____ 
    How numerous months/years at your present position?_____ 
    Brief description of duties_____ 
    Do you work with laboratory animals?_____ Yes _____No 
    If yes, finish the following.

    Animal Yes No Approximate Contact Hours/Day
    Rats  _____  _____  _____ 
    Mice  _____  _____  _____ 
    Rabbits  _____  _____  _____ 
    Guinea Pigs  _____  _____  _____ 
    Monkeys  _____  _____  _____ 
    Cattle  _____  _____  _____ 
    Dogs  _____  _____  _____ 
    Cats  _____  _____  _____ 
    Other  _____  _____  _____ 
    Do you work with laboratory animals?_____ Yes _____No 
    If yes, finish the following.

    Animal Yes No Approximate Contact Hours/Day
    Rats  _____  _____  _____ 
    Mice  _____  _____  _____ 
    Rabbits  _____  _____  _____ 
    Guinea Pigs  _____  _____  _____ 
    Monkeys  _____  _____  _____ 
    Cattle  _____  _____  _____ 
    Dogs  _____  _____  _____ 
    Cats  _____  _____  _____ 
    Other  _____  _____  _____ 
    Do you feel that you are allergic to any of these animals?

    _____ Yes _____ No 

    _____ Rats  _____ Mice  _____ Rabbits  _____ Dogs  _____ Other 
    _____ Cats  _____ Monkeys  _____ Cattle  _____ Guinea Pigs 
    Do you feel that you are allergic to any of these animals?

    What did dj allergies tell to the nose

    _____ Yes _____ No 

    _____ Rats  _____ Mice  _____ Rabbits  _____ Dogs  _____ Other 
    _____ Cats  _____ Monkeys  _____ Cattle  _____ Guinea Pigs 
    Did you work with laboratory animals before your employment at this facility?   _____ Yes _____ No  If yes, how long?_____ years What type of animals?_____ 
    Did you work with laboratory animals before your employment at this facility?

      _____ Yes _____ No  If yes, how long?_____ years What type of animals?_____ 
    Do you use or wear any of the following items when working with animals?
    Protective Eye Glasses  _____Yes  _____No 
    Mask/Respirator  _____Yes  _____No 
    Lab Coat  _____Yes  _____No 
    Gloves  _____Yes  _____No 
    Do you use or wear any of the following items when working with animals?

    Protective Eye Glasses  _____Yes  _____No 
    Mask/Respirator  _____Yes  _____No 
    Lab Coat  _____Yes  _____No 
    Gloves  _____Yes  _____No 
    HOME ENVIRONMENT INFORMATION
    Do you own any indoor pets?

    _____ Yes _____ No 

    If yes, which animals and for how long?
    Animal Years Years Years Over 4 Years
    Dogs  _____  _____  _____  _____ 
    Cats  _____  _____  _____  _____ 
    Other (Type)_____  _____  _____  _____  _____ 
    _____  _____  _____  _____  _____ 
    HOME ENVIRONMENT INFORMATION
    Do you own any indoor pets?

    _____ Yes _____ No 

    If yes, which animals and for how long?
    Animal Years Years Years Over 4 Years
    Dogs  _____  _____  _____  _____ 
    Cats  _____  _____  _____  _____ 
    Other (Type)_____  _____  _____  _____  _____ 
    _____  _____  _____  _____  _____ 
    Do you regularly own any of the following symptoms?

    _____ Yes _____ No Please indicate if the symptom is present and the year of onset.

    What did dj allergies tell to the nose

    Also check in what location or time “period” the symptom(s) is/are present.

    Symptom Yes/No Present Year of Onset Symptoms Are Present On Vacation No Difference
    At Work At Home
    Cough  _____  _____  _____  _____  _____  _____ 
    Sputum Production  _____  _____  _____  _____  _____  _____ 
    Shortness of Breath  _____  _____  _____  _____  _____  _____ 
    Wheezing  _____  _____  _____  _____  _____  _____ 
    Chest Tightness  _____  _____  _____  _____  _____  _____ 
    Asthma  _____  _____  _____  _____  _____  _____ 
    Nose Congestion  _____  _____  _____  _____  _____  _____ 
    Runny Nose  _____  _____  _____  _____  _____  _____ 
    Sneezing  _____  _____  _____  _____  _____  _____ 
    Itchy Eyes  _____  _____  _____  _____  _____  _____ 
    Sinus Problems  _____  _____  _____  _____  _____  _____ 
    Hay Fever  _____  _____  _____  _____  _____  _____ 
    Frequent Colds  _____  _____  _____  _____  _____  _____ 
    Hives  _____  _____  _____  _____  _____  _____ 
    Skin Rash  _____  _____  _____  _____  _____  _____ 
    Swelling of Eyes or Lips  _____  _____  _____  _____  _____  _____ 
    Eczema  _____  _____  _____  _____  _____  _____ 
    Difficulty in Swallowing  _____  _____  _____  _____  _____  _____ 
    Were you ever told by a doctor that you had allergies?

    _____ Yes _____ No 
    Do you regularly own any of the following symptoms? _____ Yes _____ No Please indicate if the symptom is present and the year of onset. Also check in what location or time “period” the symptom(s) is/are present.
    Symptom Yes/No Present Year of Onset Symptoms Are Present On Vacation No Difference
    At Work At Home
    Cough  _____  _____  _____  _____  _____  _____ 
    Sputum Production  _____  _____  _____  _____  _____  _____ 
    Shortness of Breath  _____  _____  _____  _____  _____  _____ 
    Wheezing  _____  _____  _____  _____  _____  _____ 
    Chest Tightness  _____  _____  _____  _____  _____  _____ 
    Asthma  _____  _____  _____  _____  _____  _____ 
    Nose Congestion  _____  _____  _____  _____  _____  _____ 
    Runny Nose  _____  _____  _____  _____  _____  _____ 
    Sneezing  _____  _____  _____  _____  _____  _____ 
    Itchy Eyes  _____  _____  _____  _____  _____  _____ 
    Sinus Problems  _____  _____  _____  _____  _____  _____ 
    Hay Fever  _____  _____  _____  _____  _____  _____ 
    Frequent Colds  _____  _____  _____  _____  _____  _____ 
    Hives  _____  _____  _____  _____  _____  _____ 
    Skin Rash  _____  _____  _____  _____  _____  _____ 
    Swelling of Eyes or Lips  _____  _____  _____  _____  _____  _____ 
    Eczema  _____  _____  _____  _____  _____  _____ 
    Difficulty in Swallowing  _____  _____  _____  _____  _____  _____ 
    Were you ever told by a doctor that you had allergies?

    _____ Yes _____ No 
    Have you ever been skin tested for allergies? _____ Yes _____ No If yes, what substances were you found to be allergic to or sensitized to?
    _____ Ragweed  _____ Grass  _____ Trees  _____ Mold 
    _____ Dust  _____ Cat  _____ Dog  _____ Mice 
    _____ Other  _____ 
    Have you ever been skin tested for allergies? _____ Yes _____ No If yes, what substances were you found to be allergic to or sensitized to?

    _____ Ragweed  _____ Grass  _____ Trees  _____ Mold 
    _____ Dust  _____ Cat  _____ Dog  _____ Mice 
    _____ Other  _____ 
    Have you ever received allergy (desensitization/immunotherapy) shots? _____ Yes _____ No 
    Has a doctor ever said you own asthma? _____ Yes _____ No 
    If yes, when did your asthma start? _____ (year) 
    Are you currently taking medication (either over the counter or by prescription) to control your asthma?

    _____ Yes _____ No 

    Has a doctor ever told you that you own a medical condition caused by your working conditions? _____ Yes _____ No 
    Do any of your blood relatives (grandparents, parents, brothers/sisters) own allergies or asthma? _____ Yes _____ No 
    Are you under a doctors care for any other illnesses? _____ Yes _____ No 
    If yes, please list illnesses: _____ 
    Do you take blood pressure medication(s)? _____ Yes _____ No 
    Do you regularly use “over the counter” (nonprescription) nose drops or nose sprays (e.g., Afrin, Neosynephrine)?

    _____ Yes _____ No 

    Do you smoke cigarettes? _____ Yes _____ No If yes, how numerous cigarettes per day?_____ 
    How numerous years?_____ 
    If not presently smoking, did you ever smoke? _____ Yes _____ No 
    If yes, when did you stop smoking cigarettes? _____ (year) 
    How numerous years did you smoke? _____ years 
    Comments _____ 
    Reviewed By:_____ Date:_____.
    Have you ever received allergy (desensitization/immunotherapy) shots? _____ Yes _____ No 
    Has a doctor ever said you own asthma?

    _____ Yes _____ No 

    If yes, when did your asthma start? _____ (year) 
    Are you currently taking medication (either over the counter or by prescription) to control your asthma?

    What did dj allergies tell to the nose

    _____ Yes _____ No 

    Has a doctor ever told you that you own a medical condition caused by your working conditions? _____ Yes _____ No 
    Do any of your blood relatives (grandparents, parents, brothers/sisters) own allergies or asthma? _____ Yes _____ No 
    Are you under a doctors care for any other illnesses? _____ Yes _____ No 
    If yes, please list illnesses: _____ 
    Do you take blood pressure medication(s)?

    _____ Yes _____ No 

    Do you regularly use “over the counter” (nonprescription) nose drops or nose sprays (e.g., Afrin, Neosynephrine)? _____ Yes _____ No 
    Do you smoke cigarettes?

    What did dj allergies tell to the nose

    _____ Yes _____ No If yes, how numerous cigarettes per day?_____ 

    How numerous years?_____ 
    If not presently smoking, did you ever smoke? _____ Yes _____ No 
    If yes, when did you stop smoking cigarettes? _____ (year) 
    How numerous years did you smoke? _____ years 
    Comments _____ 
    Reviewed By:_____ Date:_____.

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    Table 2

    Laboratory animal allergy questionnaire a

    Date._____ 
    Name:_____ 
    Supervisor:_____ 
    Department:_____ 
    Age:_____ Sex:_____ Male_____ Female 
    OCCUPATIONAL HISTORY
    Answer these questions about your present job: 
    Job title:_____ 
    Number of years employed at this facility:_____ 
    How numerous months/years at your present position?_____ 
    Brief description of duties_____ 
    Date._____ 
    Name:_____ 
    Supervisor:_____ 
    Department:_____ 
    Age:_____ Sex:_____ Male_____ Female 
    OCCUPATIONAL HISTORY
    Answer these questions about your present job: 
    Job title:_____ 
    Number of years employed at this facility:_____ 
    How numerous months/years at your present position?_____ 
    Brief description of duties_____ 
    Do you work with laboratory animals?_____ Yes _____No 
    If yes, finish the following.

    Animal Yes No Approximate Contact Hours/Day
    Rats  _____  _____  _____ 
    Mice  _____  _____  _____ 
    Rabbits  _____  _____  _____ 
    Guinea Pigs  _____  _____  _____ 
    Monkeys  _____  _____  _____ 
    Cattle  _____  _____  _____ 
    Dogs  _____  _____  _____ 
    Cats  _____  _____  _____ 
    Other  _____  _____  _____ 
    Do you work with laboratory animals?_____ Yes _____No 
    If yes, finish the following.

    Animal Yes No Approximate Contact Hours/Day
    Rats  _____  _____  _____ 
    Mice  _____  _____  _____ 
    Rabbits  _____  _____  _____ 
    Guinea Pigs  _____  _____  _____ 
    Monkeys  _____  _____  _____ 
    Cattle  _____  _____  _____ 
    Dogs  _____  _____  _____ 
    Cats  _____  _____  _____ 
    Other  _____  _____  _____ 
    Do you feel that you are allergic to any of these animals?

    _____ Yes _____ No 

    _____ Rats  _____ Mice  _____ Rabbits  _____ Dogs  _____ Other 
    _____ Cats  _____ Monkeys  _____ Cattle  _____ Guinea Pigs 
    Do you feel that you are allergic to any of these animals?

    What did dj allergies tell to the nose

    _____ Yes _____ No 

    _____ Rats  _____ Mice  _____ Rabbits  _____ Dogs  _____ Other 
    _____ Cats  _____ Monkeys  _____ Cattle  _____ Guinea Pigs 
    Did you work with laboratory animals before your employment at this facility?   _____ Yes _____ No  If yes, how long?_____ years What type of animals?_____ 
    Did you work with laboratory animals before your employment at this facility?

      _____ Yes _____ No  If yes, how long?_____ years What type of animals?_____ 
    Do you use or wear any of the following items when working with animals?
    Protective Eye Glasses  _____Yes  _____No 
    Mask/Respirator  _____Yes  _____No 
    Lab Coat  _____Yes  _____No 
    Gloves  _____Yes  _____No 
    Do you use or wear any of the following items when working with animals?
    Protective Eye Glasses  _____Yes  _____No 
    Mask/Respirator  _____Yes  _____No 
    Lab Coat  _____Yes  _____No 
    Gloves  _____Yes  _____No 
    HOME ENVIRONMENT INFORMATION
    Do you own any indoor pets?

    _____ Yes _____ No 

    If yes, which animals and for how long?
    Animal Years Years Years Over 4 Years
    Dogs  _____  _____  _____  _____ 
    Cats  _____  _____  _____  _____ 
    Other (Type)_____  _____  _____  _____  _____ 
    _____  _____  _____  _____  _____ 
    HOME ENVIRONMENT INFORMATION
    Do you own any indoor pets?

    _____ Yes _____ No 

    If yes, which animals and for how long?
    Animal Years Years Years Over 4 Years
    Dogs  _____  _____  _____  _____ 
    Cats  _____  _____  _____  _____ 
    Other (Type)_____  _____  _____  _____  _____ 
    _____  _____  _____  _____  _____ 
    Do you regularly own any of the following symptoms?

    _____ Yes _____ No Please indicate if the symptom is present and the year of onset. Also check in what location or time “period” the symptom(s) is/are present.

    Symptom Yes/No Present Year of Onset Symptoms Are Present On Vacation No Difference
    At Work At Home
    Cough  _____  _____  _____  _____  _____  _____ 
    Sputum Production  _____  _____  _____  _____  _____  _____ 
    Shortness of Breath  _____  _____  _____  _____  _____  _____ 
    Wheezing  _____  _____  _____  _____  _____  _____ 
    Chest Tightness  _____  _____  _____  _____  _____  _____ 
    Asthma  _____  _____  _____  _____  _____  _____ 
    Nose Congestion  _____  _____  _____  _____  _____  _____ 
    Runny Nose  _____  _____  _____  _____  _____  _____ 
    Sneezing  _____  _____  _____  _____  _____  _____ 
    Itchy Eyes  _____  _____  _____  _____  _____  _____ 
    Sinus Problems  _____  _____  _____  _____  _____  _____ 
    Hay Fever  _____  _____  _____  _____  _____  _____ 
    Frequent Colds  _____  _____  _____  _____  _____  _____ 
    Hives  _____  _____  _____  _____  _____  _____ 
    Skin Rash  _____  _____  _____  _____  _____  _____ 
    Swelling of Eyes or Lips  _____  _____  _____  _____  _____  _____ 
    Eczema  _____  _____  _____  _____  _____  _____ 
    Difficulty in Swallowing  _____  _____  _____  _____  _____  _____ 
    Were you ever told by a doctor that you had allergies?

    _____ Yes _____ No 
    Do you regularly own any of the following symptoms? _____ Yes _____ No Please indicate if the symptom is present and the year of onset. Also check in what location or time “period” the symptom(s) is/are present.
    Symptom Yes/No Present Year of Onset Symptoms Are Present On Vacation No Difference
    At Work At Home
    Cough  _____  _____  _____  _____  _____  _____ 
    Sputum Production  _____  _____  _____  _____  _____  _____ 
    Shortness of Breath  _____  _____  _____  _____  _____  _____ 
    Wheezing  _____  _____  _____  _____  _____  _____ 
    Chest Tightness  _____  _____  _____  _____  _____  _____ 
    Asthma  _____  _____  _____  _____  _____  _____ 
    Nose Congestion  _____  _____  _____  _____  _____  _____ 
    Runny Nose  _____  _____  _____  _____  _____  _____ 
    Sneezing  _____  _____  _____  _____  _____  _____ 
    Itchy Eyes  _____  _____  _____  _____  _____  _____ 
    Sinus Problems  _____  _____  _____  _____  _____  _____ 
    Hay Fever  _____  _____  _____  _____  _____  _____ 
    Frequent Colds  _____  _____  _____  _____  _____  _____ 
    Hives  _____  _____  _____  _____  _____  _____ 
    Skin Rash  _____  _____  _____  _____  _____  _____ 
    Swelling of Eyes or Lips  _____  _____  _____  _____  _____  _____ 
    Eczema  _____  _____  _____  _____  _____  _____ 
    Difficulty in Swallowing  _____  _____  _____  _____  _____  _____ 
    Were you ever told by a doctor that you had allergies?

    _____ Yes _____ No 
    Have you ever been skin tested for allergies? _____ Yes _____ No If yes, what substances were you found to be allergic to or sensitized to?
    _____ Ragweed  _____ Grass  _____ Trees  _____ Mold 
    _____ Dust  _____ Cat  _____ Dog  _____ Mice 
    _____ Other  _____ 
    Have you ever been skin tested for allergies?

    _____ Yes _____ No If yes, what substances were you found to be allergic to or sensitized to?

    _____ Ragweed  _____ Grass  _____ Trees  _____ Mold 
    _____ Dust  _____ Cat  _____ Dog  _____ Mice 
    _____ Other  _____ 
    Have you ever received allergy (desensitization/immunotherapy) shots? _____ Yes _____ No 
    Has a doctor ever said you own asthma? _____ Yes _____ No 
    If yes, when did your asthma start? _____ (year) 
    Are you currently taking medication (either over the counter or by prescription) to control your asthma?

    What did dj allergies tell to the nose

    _____ Yes _____ No 

    Has a doctor ever told you that you own a medical condition caused by your working conditions? _____ Yes _____ No 
    Do any of your blood relatives (grandparents, parents, brothers/sisters) own allergies or asthma? _____ Yes _____ No 
    Are you under a doctors care for any other illnesses? _____ Yes _____ No 
    If yes, please list illnesses: _____ 
    Do you take blood pressure medication(s)?

    _____ Yes _____ No 

    Do you regularly use “over the counter” (nonprescription) nose drops or nose sprays (e.g., Afrin, Neosynephrine)? _____ Yes _____ No 
    Do you smoke cigarettes? _____ Yes _____ No If yes, how numerous cigarettes per day?_____ 
    How numerous years?_____ 
    If not presently smoking, did you ever smoke? _____ Yes _____ No 
    If yes, when did you stop smoking cigarettes?

    What did dj allergies tell to the nose

    _____ (year) 

    How numerous years did you smoke? _____ years 
    Comments _____ 
    Reviewed By:_____ Date:_____.
    Have you ever received allergy (desensitization/immunotherapy) shots? _____ Yes _____ No 
    Has a doctor ever said you own asthma? _____ Yes _____ No 
    If yes, when did your asthma start?

    _____ (year) 

    Are you currently taking medication (either over the counter or by prescription) to control your asthma? _____ Yes _____ No 
    Has a doctor ever told you that you own a medical condition caused by your working conditions? _____ Yes _____ No 
    Do any of your blood relatives (grandparents, parents, brothers/sisters) own allergies or asthma? _____ Yes _____ No 
    Are you under a doctors care for any other illnesses?

    _____ Yes _____ No 

    If yes, please list illnesses: _____ 
    Do you take blood pressure medication(s)? _____ Yes _____ No 
    Do you regularly use “over the counter” (nonprescription) nose drops or nose sprays (e.g., Afrin, Neosynephrine)? _____ Yes _____ No 
    Do you smoke cigarettes? _____ Yes _____ No If yes, how numerous cigarettes per day?_____ 
    How numerous years?_____ 
    If not presently smoking, did you ever smoke?

    _____ Yes _____ No 

    If yes, when did you stop smoking cigarettes? _____ (year) 
    How numerous years did you smoke? _____ years 
    Comments _____ 
    Reviewed By:_____ Date:_____.

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    Introduction

    Symptoms of laboratory animal allergy (LAA 1 ) can involve the skin, eyes, nose, and lower respiratory tract. The most common symptoms are nasal congestion, runny nose, sneezing, skin rashes, and itchy, watery eyes. Asthmatic symptoms own been reported in 20 to 30% of sensitized individuals ( Bush et al.

    ). The diagnosis of LAA requires a comprehensive occupational history, which can be facilitated by specifically designed questionnaires ( Bernstein ; Seward ; Table 1 ). Significant information to obtain from the worker includes onset and severity of symptoms and correlation of the symptoms to exposures in the laboratory facility ( Bernstein ). Confirmation of the diagnosis requires appropriate testing to detect the presence of immunoglobulin E (IgE 1 ) antibodies to laboratory animal allergens (specific sensitization). To confirm the suspicion that occupational asthma is due to sensitivity to laboratory animals, additional tests of lung function are required ( Figure 1 ).

    Figure 1

    An algorithmic approach for the assessment and diagnosis of occupational asthma. Provocative concentration causes a 20% decrease (negative PC 20 ) in forced expiratory volume in 1 sec. PC, provocative concentration; PEFR, peak expiratory flow rate; RAST, radioallergosorbent test. *If diagnosis remains in doubt, to establish etiology of newly identified laboratory animal allergen, or for medicolegal purposes.

    Figure 1

    An algorithmic approach for the assessment and diagnosis of occupational asthma. Provocative concentration causes a 20% decrease (negative PC 20 ) in forced expiratory volume in 1 sec.

    PC, provocative concentration; PEFR, peak expiratory flow rate; RAST, radioallergosorbent test. *If diagnosis remains in doubt, to establish etiology of newly identified laboratory animal allergen, or for medicolegal purposes.

    Skin testing to common seasonal and perennial allergens exterior the workplace should also be performed to investigate the possibility of non-laboratory animal-induced disease ( Bernstein et al. ). The presence of specific sensitization can be detected by skin testing or specific in vitro testing.

    Assessment of the degree of impairment of lung function is measured by performing spirometry, which can be conducted before and after the istration of a bronchodilator. Evidence for nonspecific bronchial hyperresponsiveness (a marker for asthma) is sure by methacholine or histamine bronchoprovocation testing ( Bernstein ; Bernstein etal. ). To establish whether specific exposures to laboratory animals are the cause of symptoms, assessment of lung function can be confirmed by performing spirometry or monitoring serial peak expiratory flow rate (PEFR 1 ) while the individual is at work and away from the workplace.

    It is rarely necessary to act out a bronchoprovocation challenge with laboratory animal allergens.


    Allergy-Friendly Dog Breeds

    If you own a dog allergy and are looking to adopt, you may desire to consider a dog with less fur or a dog that produces less saliva. Some allergy-friendly dog breeds include: 

    1. Yorkshire Terrier
    2. Lhasa Apso 
    3. Portuguese Water Dog 
    4. Irish Water Spaniel 
    5. Poodles and Miniature Poodles 
    6. Shih Tzu 
    7. Maltese 
    8. Soft-Coated Wheaten Terrier 
    9. Schnauzers 
    10. Kerry Blue Terrier 

    It may be significant to note that not every experts consent on whether there are truly any hypoallergenic breeds.

    For example, a study published in couldn't discover enough evidence to classify any of these dogs as hypoallergenic.


    Ways to Reduce Allergens in Dogs 

    If you own dog allergies and own a dog or plan on visiting a dog that you may be allergic to, there are ways to reduce your risk of having an allergic reaction. Allergy shots and medications can assist control symptoms, but there are proactive measures you can take as well. To lower the quantity of dander a pet carries, bathe the dog once or twice a week and wipe the dog below with a wet wipe daily.

    If your allergies persist, attempt doing a deep clean of your home to clear out any allergens that your dog may own shed. You can also purchase HEPA filters to assist trap allergens. 


    Dog Allergies Versus Cat Allergies 

    While allergens can differ based on dog breeds, those differences do not exist between diverse breeds of cats. The major cat allergen, Fel d 1, is the same regardless of cat breed and is even the same for other members of the feline family such as lions and tigers.

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    Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial policy to study more about how we fact-check and hold our content precise, dependable, and trustworthy.

    • Vredegoor DW, Willemse T, Chapman MD, Heederik DJ, Krop EJ. Can f 1 levels in hair and homes of diverse dog breeds: lack of evidence to describe any dog breed as hypoallergenic. J Allergy Clin Immunol. ;(4)e7. doi/

    • Chan SK, Leung DYM. Dog and Cat Allergies: Current State of Diagnostic Approaches and Challenges. Allergy Asthma Immunol Res. ;10(2)– doi/aair

    • American College of Allergy, Asthma & Immunology. Pet Allergy. Updated April 23,

    Abstract

    Laboratory animal allergy (LAA) is a form of occupational sensitivity affecting up to one third or more of exposed workers.

    Symptoms involve the eyes, nose, skin, and lower respiratory tract. Asthma may develop in 20 to 30% of sensitized individuals. An occupational medical history is the primary tool if a diagnosis of LAA is suspected. The diagnosis is confirmed by demonstrating the presence of immunoglobulin E antibodies to laboratory animal allergens by skin testing or in vitro assays. If laboratory animal allergen-induced asthma is suspected, measurements of lung function are necessary for confirmation and assessing the degree of impairment.

    One approach to the problem is presented in this article. For individuals with LAA, avoidance of exposure is the primary treatment. For individuals who continue to work in the environment, pharmacological treatment of their symptoms may be necessary. Methods to prevent the development of LAA are also discussed.

    IgE antibodies, immunotherapy, medical history, occupational asthma, preplacement screening, questionnaires, sensitization, skin testing

    Abstract

    Laboratory animal allergy (LAA) is a form of occupational sensitivity affecting up to one third or more of exposed workers. Symptoms involve the eyes, nose, skin, and lower respiratory tract.

    Asthma may develop in 20 to 30% of sensitized individuals. An occupational medical history is the primary tool if a diagnosis of LAA is suspected. The diagnosis is confirmed by demonstrating the presence of immunoglobulin E antibodies to laboratory animal allergens by skin testing or in vitro assays. If laboratory animal allergen-induced asthma is suspected, measurements of lung function are necessary for confirmation and assessing the degree of impairment.

    One approach to the problem is presented in this article. For individuals with LAA, avoidance of exposure is the primary treatment. For individuals who continue to work in the environment, pharmacological treatment of their symptoms may be necessary. Methods to prevent the development of LAA are also discussed.

    IgE antibodies, immunotherapy, medical history, occupational asthma, preplacement screening, questionnaires, sensitization, skin testing


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