Less common but sever conditions related to mould spores such as Acute Broncho Pulmonary Aspergillosis (ABPA is a chronic fungal infection plus allergy in the airways) and Extrinsic Allergic Alveolitis (called Farmer’s Lung) should be considered in patients with asthma like symptoms that do not respond to conventional asthma treatments. Occupational (work related) asthma may occur in bread bakers and alsoafter exposure to isocyanates in spray paint, carpentry wood dust, platinum salts in jewellery workers and animal allergens (in veterinary and animal laboratory workers and fish and shellfish factory workers)
"Given the high frequency of use of these drugs over the past 20 years, the very rare occurrence of severe infectious disease is reassuring and would suggest that the window of risk is very small and only applies to exposure to a new antigen. However, before prescribing oral corticosteroids, it would appear prudent to systematically enquire about recent exposure to chickenpox in children who did not have chickenpox or the vaccine," adds Ducharme. Moreover, all children with asthma who have not had chickenpox should be vaccinated for this condition.
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