A Most Common Type of Occupational Asthma: Baker’s Asthma

Authors

  • İnsu Yılmaz Allergy Unit, Department of Chest Diseases, Faculty of Medicine, Erciyes University, Kayseri
  • Dilşad Mungan Division of Immunology and Allergy, Department of Chest Diseases, Faculty of Medicine, Ankara University, Ankara

Keywords:

Occupational asthma, baker’s asthma, wheat allergen

Abstract

Bakery has been well known as one of the oldest occupations. The invention of fire and transition to agriculture led to the emergence of certain occupations with bakery being one of them. The relationship between bakery and asthma was first described by Bernardo Ramazzini in the 18th century. However serious investigations into a possible occupational relationship with asthma began in the early 1960s. Baker’s asthma since then has been reported as one of the most common types of occupational asthma. The increasing knowledge in exposure-response relations accumulated in recent years which is important in the understanding of baker’s asthma. The baker is often atopic and symptoms are known to develop after a latency period of months or years, even decades. Rhinitis is a very common presentation, usually preceding asthma. Conjunctivitis and dermatological symptoms are other forms of clinical presentations that might also occur. Specific inhalation challenge is considered the gold standard for the diagnosis of baker’s asthma. However, the diagnosis is usually based on detailed history questioning the relationship between asthma and work-place, serial PEF measurements on working days and days off work, measurements of nonspesific bronchial provocation test and determination of allergen by skin or spesific IgE test (eg, grain flours and enzymes). Specific inhalation challenge is rarely necessary. This review focuses on the main wheat allergens associated with baker’s asthma.

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Published

2013-12-15

How to Cite

1.
Yılmaz İnsu, Mungan D. A Most Common Type of Occupational Asthma: Baker’s Asthma. AAI [Internet]. 2013 Dec. 15 [cited 2022 Jan. 24];11(3):139-45. Available from: https://aai.org.tr/index.php/aai/article/view/143

Issue

Section

Review