PT - JOURNAL ARTICLE AU - P Bonadonna AU - G Senna AU - G Passalacqua TI - Dermatological powder as hidden cause of occupational allergy due to casein: a case report AID - 10.1136/oem.60.8.609 DP - 2003 Aug 01 TA - Occupational and Environmental Medicine PG - 609--610 VI - 60 IP - 8 4099 - http://oem.bmj.com/content/60/8/609.short 4100 - http://oem.bmj.com/content/60/8/609.full SO - Occup Environ Med2003 Aug 01; 60 AB - We report a case of occupational asthma due to hidden casein, contained in a dermatological powder. A 44 year old nurse reported the recent onset of rhinitis and asthma, clearly related to the work environment. Skin tests for food allergens revealed a positivity for milk proteins. The source of dispersed milk proteins in the work environment was found to be a dermatological formulation of an inert refreshing powder, used to treat excoriated areas in the elderly. Skin prick tests confirmed the positivity to casein and to the commercial product.