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Occupational allergic rhinoconjunctivitis and bronchial asthma induced by goat cheese
  1. Iván Sastre1,
  2. Rosa Rodríguez-Perez2,
  3. Fernando García1,
  4. Sonsoles Juste1,
  5. Ignacio Moneo2,
  6. María Luisa Caballero2
  1. 1Department of Allergology, Hospital Universitario, Burgos, Spain
  2. 2Department of Immunology, Hospital Carlos III, Madrid, Spain
  1. Correspondence to Dr María Luisa Caballero, Immunology Department, Hospital Carlos III. C/Sinesio Delgado, 10, Madrid 28029, Spain; mlcsoto{at}hotmail.com

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Occupational asthma represents 25% of cases of occupational lung disease and 5–10% of cases of asthma in adults.1

A 49-year-old woman developed rhinoconjunctivitis and bronchial asthma related with the production of goat cheese, in a cheese factory. She was in charge of the cheese production process three days a week, and she had episodes of coughing, sneezing, rhinorrea, watery eyes, wheezing and dyspnoea, for 2 years. Symptoms decreased during the cheeses packing process and disappeared during holidays and weekends, suggesting an occupational exposure. She tolerated eating goat cheese.

The patient had a normal respiratory function test (FEV1) (92%). FEV1 decreased during working days, but there was not significant fluctuation on holidays. Methacholine test was positive.

Skin prick tests (SPTs) (Bial-Aristegui, Bilbao, …

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