{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T13:20:52Z","timestamp":1773840052414,"version":"3.50.1"},"reference-count":9,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pneumologie"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Seit 01.01.2021 entf\u00e4llt in Deutschland bei allen Berufskrankheiten (BKen), die zur Anerkennung eine T\u00e4tigkeitsaufgabe erforderten, der Unterlassungszwang. Betroffen hiervon ist auch die BK Nr. 4301 gem\u00e4\u00df Anlage 1 der Berufskrankheiten-Verordnung (BKV) (durch allergisierende Stoffe verursachte obstruktive Atemwegserkrankungen). Hierbei ist es bereits zu einem deutlichen Anstieg der BK-Anerkennungen gekommengekommen, der jedoch seit 2022 wieder regredient war. In diesem Artikel stellen wir 2 Patienten mit allergischem (beim zweiten Fallbericht gemischtf\u00f6rmigem) Asthma bronchiale vor, bei denen es infolge einer fortgesetzten beruflichen Allergenexposition als Landwirt zu einem medizinisch leicht vermeidbaren Krankheitsprogress gekommen ist. Gem\u00e4\u00df \u00a7 3 (1) BKV besteht bei der \u201eGefahr, dass eine Berufskrankheit entsteht, wiederauflebt oder sich verschlimmert\u201c f\u00fcr die gesetzlichen Unfallversicherungstr\u00e4ger die Pflicht, \u201edieser Gefahr mit allen geeigneten Mitteln entgegenzuwirken\u201c. Auch wenn diese individuellen Pr\u00e4ventionsma\u00dfnahmen bereits bei drohender BK gesetzlich verpflichtend und medizinisch sinnvoll sind, d\u00fcrften diese wegen vermehrter BK-Anerkennungen in Zukunft h\u00e4ufiger indiziert sein und angeboten werden. Ung\u00fcnstige Verl\u00e4ufe, wie sie in den beiden hier vorgestellten Kasuistiken erl\u00e4utert werden, sollten somit zuk\u00fcnftig seltener vorkommen.<\/jats:p>","DOI":"10.1055\/a-2185-0896","type":"journal-article","created":{"date-parts":[[2023,10,19]],"date-time":"2023-10-19T22:48:00Z","timestamp":1697755680000},"page":"269-275","source":"Crossref","is-referenced-by-count":2,"title":["Pr\u00e4vention eines Progresses des allergischen Asthma bronchiale als Berufskrankheit"],"prefix":"10.1055","volume":"78","author":[{"given":"Ludwig","family":"Frei-Stuber","sequence":"additional","affiliation":[{"name":"Institut und Poliklinik f\u00fcr Arbeits-, Sozial- und Umweltmedizin, LMU Klinikum, M\u00fcnchen, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Annabelle","family":"W\u00e4chter","sequence":"additional","affiliation":[{"name":"Institut und Poliklinik f\u00fcr Arbeits-, Sozial- und Umweltmedizin, LMU Klinikum, M\u00fcnchen, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tobias","family":"Benthaus","sequence":"additional","affiliation":[{"name":"Institut und Poliklinik f\u00fcr Arbeits-, Sozial- und Umweltmedizin, LMU Klinikum, M\u00fcnchen, Deutschland"},{"name":"Betriebs\u00e4rztlicher Dienst, Bayerischer Rundfunk, M\u00fcnchen, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Uta","family":"Ochmann","sequence":"additional","affiliation":[{"name":"Institut und Poliklinik f\u00fcr Arbeits-, Sozial- und Umweltmedizin, LMU Klinikum, M\u00fcnchen, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dennis","family":"Nowak","sequence":"additional","affiliation":[{"name":"Institut und Poliklinik f\u00fcr Arbeits-, Sozial- und Umweltmedizin, LMU Klinikum, M\u00fcnchen, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,10,19]]},"reference":[{"key":"ref3","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1378\/chest.08-0201","article-title":"Diagnosis and management of work-related asthma: American College Of Chest Physicians Consensus Statement","volume":"134","author":"SM Tarlo","year":"2008","journal-title":"Chest"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"221","DOI":"10.1007\/s11882-012-0259-2","article-title":"Diagnosis of occupational asthma: an update","volume":"12","author":"E Jares","year":"2012","journal-title":"Curr Allergy Asthma Rep"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"6","DOI":"10.1111\/cea.12858","article-title":"Diagnosing occupational asthma","volume":"47","author":"O Vandenplas","year":"2017","journal-title":"Clin Exp Allergy"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"188","DOI":"10.4168\/aair.2019.11.2.188","article-title":"Update on the Management of Occupational Asthma and Work-Exacerbated Asthma","volume":"11","author":"A Lau","year":"2019","journal-title":"Allergy Asthma Immunol Res"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"CD006308","DOI":"10.1002\/14651858.CD006308.pub4","article-title":"Workplace interventions for treatment of occupational asthma","volume":"10","author":"P Henneberger","year":"2019","journal-title":"Cochrane Database Syst Rev"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"165","DOI":"10.1002\/ajim.23208","article-title":"The effectiveness of removal from exposure and reduction of exposure for managing occupational asthma: Summary of an updated Cochrane systematic review","volume":"64","author":"P Henneberger","year":"2021","journal-title":"Am J Ind Med"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"461","DOI":"10.1055\/a-2070-2135","article-title":"S2k-Leitlinie zur fach\u00e4rztlichen Diagnostik und Therapie von Asthma 2023","volume":"77","author":"M Lommatzsch","year":"2023","journal-title":"Pneumologie"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1183\/13993003.01585-2021","article-title":"European Respiratory Society Guidelines for the Diagnosis of Asthma in Adults","volume":"2101585","author":"R Louis","year":"2022","journal-title":"Eur Respir J"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"602","DOI":"10.1164\/rccm.9120-11ST","article-title":"American Thoracic Society Committee on Interpretation of Exhaled Nitric Oxide Levels (FENO) for Clinical Applications. 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