Hypersensitivity pneumonitis in a machinist.
Freeman A; Lockey J; Hawley P; Biddinger P; Trout D
Am J Ind Med 1998 Oct; 34(4):387-392
Hypersensitivity pneumonitis (HP), or extrinsic allergic alveolitis, is a patchy, interstitial lung disease that involves an immunologic reaction of the lung to repeated inhalation of foreign antigens. In this report, we describe a machinist with exposure to metalworking fluids (MWFs) and biopsy-confirmed HP. Return to work, which could be equated with a retrospective workplace-specific bronchoprovocation test, proved that working within an environment in which MWFs were used was associated with clinical deterioration in the patient's pulmonary status and with clinical improvement after removal from exposure.
Hypersensitivity; Allergic reactions; Allergic disorders; Lung disease; Inhalants; Antigens; Machine operators; Machinists; Metal industry workers; Metal compounds; Pulmonary system disorders;
Author Keywords: metal working fluids; aerosols; extrinsic allergic alveolitis; hypersensitivity pneumonitis; case report
Dr. Andrew Freeman, University of Cincinnati, Department of Enviromental Health, Division of Occupational and Enviromental Medicine, Medical Sciences Building room 5251, Cincinnati, OH 45267-0182
Other Occupational Concerns; Pulmonary System Disorders
American Journal of Industrial Medicine