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Asthma, hypersensitivity pneumonitis and other respiratory diseases caused by metalworking fluids.

Authors
Rosenman-KD
Source
Curr Opin Allergy Clin Immunol 2009 Apr; 9(3):97-102
NIOSHTIC No.
20035226
Abstract
Purpose of review: To highlight advances in understanding the respiratory disease associated with metal machining, a common work process involving approximately 1.2 million workers in the USA. Recent findings: Recent studies emphasize that work-related asthma and hypersensitivity pneumonitis continue to be caused by exposure to metalworking fluid. Identification of an individual patient indicates the need for follow-up investigations at the work site to prevent additional disease and/or identify additional effected individuals. Identification of the causal agent for hypersensitivity pneumonitis has centered on microbial contamination of metalworking fluids with a number of studies focusing on Mycobacterium immunogenum. Summary: Both asthma and hypersensitivity pneumonitis occur among workers exposed to metalworking fluid. The incidence of these diseases among such workers is unknown. Outbreaks of these conditions continue to be identified among metal machinists. Whether these are true outbreaks associated with some breakdown in workplace controls or, rather the recognition of ongoing endemic disease that is typically misdiagnosed as pneumonia or common adult onset asthma, needs further evaluation. Further work to elucidate the specific causal agent(s) is necessary to affect effective workplace controls. Treating an identified individual case as an index case with a follow-up workplace investigation will only be possible if practicing physicians interact with public health authorities to report newly diagnosed cases.
Keywords
Metalworking-fluids; Metalworking-industry; Respiratory-system-disorders; Respiratory-hypersensitivity; Respiratory-irritants; Pulmonary-system-disorders; Bronchial-asthma; Hypersensitivity; Microorganisms; Bacteria; Author Keywords: asthma; hypersensitivity pneumonitis; metalworking fluid; Mycobacterium immunogenum
Contact
Kenneth D. Rosenman, MD, Professor of Medicine, Michigan State University, 117 West Fee, East Lansing, MI 48824
CODEN
COACCS
Publication Date
20090401
Document Type
Journal Article
Email Address
Rosenman@msu.edu
Editors
Tarlo-SM; Maestrelli-P
Funding Type
Cooperative Agreement
Fiscal Year
2009
NTIS Accession No.
NTIS Price
Identifying No.
Cooperative-Agreement-Number-U60-OH-008466
Issue of Publication
3
ISSN
1528-4050
Source Name
Current Opinion in Allergy and Clinical Immunology
State
MI
Performing Organization
Michigan State University
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