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1. Carneiro-Leão L, Amaral L, Silva D, Bartolomé B, Miranda M. Exploring a rare case of occupational senna allergy. Occup Med (Lond). 2018;68:641-3. 2. EMA Committee on Herbal Medicine Products. Assessment report on Senna alexandrina Mill. (Cassia senna L.; Cassia angustifolia Vahl), folium and fructus. EMA/ HMPC/228759/2016. European Medicines Agency. 2017:125. 3. Marks GB, Salome CM, Woolcock AJ. Asthma and allergy associated with occupational exposure to ispaghula and senna products in a pharmaceutical work force. Am Rev Respir Dis. 1991;144:1065-9. 4. Helin T, Mäkinen-Kiljunen S. Occupational asthma and rhinoconjunctivitis caused by senna. Allergy. 1996;51:181-4. 5. Mairesse CL. Asthme et rhinite d ́origine professionnelle causes par la séné [Occupational asthma and rhinithis caused by senna]. Rev Fr Allergol. 2007;47:371-2. 6. Parui S, Mondal AM, Mandal S. Identification of the allergenic proteins of Cassia siamea pollen. Grana. 2002;41:39-43. 7. Engler RJM, With CM, Gregory PJ, Jellin JM. Complementary and alternative medicine for the allergist-immunologist: Where do I start? J Allergy Clin Immunol. 2009;123:309-16. 8. Geller AI, Shebab N, Weidle NJ, Lovegrove MC, Wolpert BJ, Timbo BB, et al. Emergency department visits for adverse events related to dietary supplements. N Engl J Med. 2015;373:1531-40. 9. Land MH, Wang J. Complementary and alternative medicine use among allergy practices: Results of a nationwide survey of allergists. J Allergy Clin Immunol Pract. 2018;6:95-8. Approach to Occupational Contact Dermatitis in an Industrialized Region of Spain