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Identification of Pen m 4 as a potential cause of occupational asthma to Gammarus shrimp

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We present the case of a 34-year-old male patient employed for 8 years in a company manufacturing and packaging animal feed. The patient developed occupational asthma to dry Gammarus powder. The… Click to show full abstract

We present the case of a 34-year-old male patient employed for 8 years in a company manufacturing and packaging animal feed. The patient developed occupational asthma to dry Gammarus powder. The diagnosis was confirmed by specific bronchial provocation test. The determination of specific IgE antibodies was positive for Pen m 4, a sarcoplasmic calcium binding protein, with a level of 6.7 ISU-E. The sensitization to Pen m 4 described here may identify a new allergen causing occupational asthma in these workers.

Keywords: potential cause; identification pen; gammarus; pen potential; asthma; occupational asthma

Journal Title: Clinical and Translational Allergy
Year Published: 2018

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