천식을 잘 일으키는 물질에 노출된 작업자에서 다른 물질에 의해 발생한 비전형적 직업성천식
Occupational asthma caused by unusual agents in workers exposed to highly asthmogenic agents
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Abstract
Occupational asthma (OA) should be suspected in a worker with newly developed asthma exposed to agent known to cause asthma. First approach to diagnosis of OA is to obtain careful occupational history and seek possible agents at workplace. Published lists and databases of agents and workplaces are currently available. However some of them, TDI in furniture and musical instruments factories, reactive dyes in dye manufactories, and drugs in pharmaceutical workers and dust in highly dusty workplace, represent most case of OA. Therefore many physicians mechanically trace particular agent as cause of OA at such workplaces. Here we report 4 cases of OA caused by unusual agents in workers exposed to highly asthmogenic agents at workplace; formaldehyde at musical instruments factory, chromium at reactive dye manufactory, and TDI at dry powder painting work. In these cases, the diagnosis of OA was possible from multidisciplinary approaches; component analysis of chemicals, review of material safety-data sheet, and detail understanding of job duties and work processes. This study suggests that physician should look for unknown agent in highly suspicious case of OA with negative challenge test to agents known to develop asthma.
참고문헌 (14)
- "Occupational asthma", 108, pp.317~328 (2001)
- "Occupational asthma", 39, pp.1~10 (2002)
- "Provocation studies in the diagnosis of occupational asthma", pp.251~267 (2003)
- "Prevalence of occupational asthma in TDI-exposed workers", 16, pp.191~199 (2004)
- "Role of skin prick test and serological measurement of specific IgE in the diagnosis of occupational asthma resulting from exposure to vinyl sulphone reactive dyes", 58, pp.411~416 (2001)
- "Jung KS. Occupational asthma caused by chromium. Clin Exp Allergy 1994", pp.676~81
- "Occupational asthma due to azodicarbonamide", 45, pp.325~329 (2004)
- "Clinical evaluation, management, and prevention of work-related asthma", 37, pp.121~141 (2000)
- "The work-related cases among bronchial asthma diagnosed at a university hospital in Incheon", 11, pp.174~180 (1999)
- "Analysis of occupational disease by approved Korea Labor Welfare Corporation in 1999", 13, pp.449~460 (2001)
- "Analysis of claimed cases as an occupational disease at Korea Occupational Safety and Health Agency from 1992 to 1999", 12, pp.292~301 (2000)
- "Occupational asthma due to formaldehyde", 42, pp.440~445 (2001)
- "A case of reactive dye induced asthma in an exposed worker near a dye factory", 14, pp.326~333 (2002)
- "Hong CS. The prevalence of specific IgE and IgG to reactive dye-human serum albumin conjugate in workers of a dye factory and neighboring factories. J Korean Med Sci 1991", pp.63~8