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Japanese guidelines for occupational allergic diseases 2017

  • Dobashi Kunio
    Graduate School of Health Sciences, Gunma University
  • Akiyama Kazuo
    National Hospital Organization, Sagamihara National Hospital
  • Usami Atsushi
    Tohkai Research Institute for Pollinosis
  • Yokozeki Hiroo
    Department of Dermatology, Tokyo Medical and Dental University
  • Ikezawa Zenro
    Yokohama City University
  • Tsurikisawa Naomi
    Department of Respirology, National Hospital Organization, Saitama National Hospital
  • Nakamura Yoichi
    Medical Center for Allergic and Immune Diseases, Yokohama City Minato Red Cross Hospital
  • Sato Kazuhiro
    Department of Environmental Health, School of Medicine, University of Fukui
  • Okumura Jiro
    Department of Environmental Medicine and Behavioral Science, Kindai University Faculty of Medicine
  • Takayama Kaoru
    Department of Dermatology, Saiseikai Kawaguchi General Hospital

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Abstract

<p>In 2013, a guideline for occupational allergic diseases was published for the first time in Japan. Occupational allergic diseases are likely to worsen or become intractable as a result of continuous exposure to high concentrations of causative antigens, and are socioeconomically important diseases with which the patients might sometimes lose jobs due to work interruptions. Guidelines for occupational allergic diseases have been published in many countries. This guideline consists of six chapters about occupational asthma, occupational allergic rhinitis, occupational skin diseases, hypersensitivity pneumonitis and occupational anaphylaxis shock, and legal aspects of these diseases. The guideline is characterized with the following basic structure: Clinical Questions (CQs) are set with reference to Minds (Medical Information Network Distribution Service), statements by the committee are correspondingly listed, recommended grades and evidence levels are defined, and then descriptions and references are indicated.</p>

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