A supermarket worker identified by her Respiratory Physician

A thirty-two year old lady was referred by her Respiratory Physician because of her difficulty in breathing and development of symptoms of probable asthma from the previous August. She worked for a large supermarket at the time, initially on the checkout, then in the restaurant and canteen. She has a 4-year history of headache, wheeze, chest pain and difficulty breathing. All symptoms would start within 5-10 minutes of coming to work, and improve 1-2 hours after leaving. She wakes most nights with breathlessness, and is wheezy on waking. She also has an itchy rash on her hands which goes shortly after leaving work.

She was well in childhood with no asthma, hay fever or eczema.

We are trying to find out if she has occupational asthma and if so, what her employment options are. Click the links below to view further information and tests. You will sometimes be asked a question about the information which you may leave blank if you desire. Any answer you do give will be available to others. Upon answering the question you will see answers entered by others and the opinion of this website. None of these are necessarily correct. Once you have looked at all the information you want please fill in the question at the bottom of the page.

	Occupational History
	Medical History
	Lung Function
	Histamine Challenge
	Skin Prick Tests
	What do you do next?
	Serial Peak Flows
	Specific IgE, please specify the desired allergen:
	Specific bronchial provocation testing, please specify the desired material:
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