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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, …
IS and RRP contributed equally.
Competing interests None.
Patient consent Obtained.
Ethics approval Hospital Universitario de Burgos.
Provenance and peer review Not commissioned; internally peer reviewed