Occupational asthma caused by high and low-molecular weight agents in an auto body worker

We report the case of a 35-year-old Ecuadorian male, who presented at our center with shortness of breath on moderate exertion, wheezing, dry cough and thoracic oppression. The symptoms worsened at the end of the work day and had been progressing for two years. He had been hospitalized for an asthma exacerbation one year prior and was since treated with on-demand Salbutamol, which he used 3 times weekly, usually at night. He also presented rhinoconjunctivitis symptoms in the spring, was asymptomatic during his summer vacation in Ecuador, smoked occasionally and had no prior diagnosis of asthma.

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