{"id":2373,"date":"2014-02-26T14:17:46","date_gmt":"2014-02-26T14:17:46","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/rads\/"},"modified":"2025-05-13T20:27:28","modified_gmt":"2025-05-13T20:27:28","slug":"rads","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/rads\/","title":{"rendered":"Criteria for the Reactive Airways Dysfunction Syndrome (RADS)"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>Irritant-induced occupational asthma is a term used to describe occupational asthma that occurs from exposure to agents considered to be airway irritants, in the absence of sensitization.<br \/>\n<!--more--><br \/>\n<strong>Features of Irritant-Induced Occupational Asthma<\/strong><br \/>\n<strong style=\"line-height: 1.3em;\">Criteria for RADS*<\/strong><\/p>\n<ul>\n<li><span style=\"line-height: 1.3em;\">History of new-onset asthma<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">Symptom onset related to a single <\/span><span style=\"line-height: 1.3em;\">high-level exposure (usually <\/span><span style=\"line-height: 1.3em;\">accidental)<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">Onset of symptoms &lt;\/=24 hr after <\/span><span style=\"line-height: 1.3em;\">exposure<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">Exposure to a very high concentration of gas, fume, or spray <\/span><span style=\"line-height: 1.3em;\">with known irritant properties<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">Symptoms persistent for &gt;\/= 3 mo<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">No previous lower respiratory tract <\/span><span style=\"line-height: 1.3em;\">symptoms<\/span><\/li>\n<\/ul>\n<p><strong style=\"line-height: 1.3em;\">Modifications to Criteria for RADS**<\/strong><\/p>\n<ul>\n<li><span style=\"line-height: 1.3em;\">History of new-onset asthma or <\/span><span style=\"line-height: 1.3em;\">recurrence of childhood asthma<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">Symptom onset related to one or more <\/span><span style=\"line-height: 1.3em;\">high-level exposures<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">Symptoms can begin &gt;24 hr (in some <\/span><span style=\"line-height: 1.3em;\">reports,\u00a0up to several days) after <\/span><span style=\"line-height: 1.3em;\">exposure<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">List of exposures includes highly irritating dust (e.g., after the World <\/span><span style=\"line-height: 1.3em;\">Trade Center collapse)<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">Airway hyperresponsiveness or <\/span><span style=\"line-height: 1.3em;\">reversible airflow obstruction<\/span><\/li>\n<li><span style=\"line-height: 1.3em;\">Previous airway disease associated <\/span><span style=\"line-height: 1.3em;\">with smoking or atopy may be <\/span><span style=\"line-height: 1.3em;\">difficult to rule out<\/span><\/li>\n<\/ul>\n<p>* The criteria for the reactive airways dysfunction syndrome (RADS) were adapted\u00a0<span style=\"line-height: 1.3em;\">from Brooks et al.<\/span><br \/>\n** Patients were considered to have irritant-induced asthma in some studies with\u00a0<span style=\"line-height: 1.3em;\">one or more of these modified criteria.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><strong>References:<\/strong><\/p>\n<ol>\n<li>Tarlo SM, Lemiere C. Occupational asthma. N Engl J Med. 2014 Feb 13;370(7):640-9.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/24521110\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Brooks SM, Weiss MA, Bernstein IL. Reactive airways dysfunction syndrome (RADS). Persistent asthma syndrome after high level irritant exposures. Chest. 1985 Sep;88(3):376-84.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/4028848\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Tarlo SM, Balmes J, Balkissoon R, Beach J, Beckett W, Bernstein D, Blanc PD, Brooks SM, Cowl CT, Daroowalla F, Harber P, Lemiere C, Liss GM, Pacheco KA, Redlich CA, Rowe B, Heitzer J. Diagnosis and management of work-related asthma: American College Of Chest Physicians Consensus Statement. Chest. 2008 Sep;134(3 Suppl):1S-41S.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/18779187\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<\/ol>\n<div><\/div>\n<div>Created Feb 26, 2014.<\/div>\n<p><\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Sorry, this entry is only available in Espa\u00f1ol.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[233],"tags":[969,962,961,16,15,970,928,41,960,968,964,965,958,957,497,966,967,4,971],"class_list":["post-2373","post","type-post","status-publish","format-standard","hentry","category-pulmonary","tag-airways","tag-asma","tag-asthma","tag-criteria","tag-criterios","tag-disfuncion","tag-dysfunction","tag-features","tag-induced","tag-inducido","tag-irritant","tag-irritantes","tag-occupational","tag-ocupacional","tag-rads","tag-reactiva","tag-reactive","tag-syndrome","tag-via-aerea"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2373","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/comments?post=2373"}],"version-history":[{"count":4,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2373\/revisions"}],"predecessor-version":[{"id":9288,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/2373\/revisions\/9288"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/media?parent=2373"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/categories?post=2373"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/tags?post=2373"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}