Occupational asthma as well as alveolitis due to metal-working fluid aerosols |
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The paper describes 12 workers with extrinsic allergic alveolitis (hypersensitivity pneumonitis) in a car engine manufacturing plant. The paper is mostly about extrinsic allergic alveolitis, but 6/12 had symptomic wheeze in addition to evidence of EAA, 5 had peak flow diurnal variability >20% and 4 had an Oasys score >2.5. It is likely that some of the 12 had both occupational asthma and alveolitis. A subsequent (as yet ubpublished) epidemiological study showed a much larger number of workers with occupational asthma from the same plant. Aerosols from metal-working fluid were the most likely cause. No mycobacteria were detected, nor antibodies found against them. Precipitins to individual organisms were present but rather unconvincing as a cause of the outbreak, which resulted in transfer of production to Nanjing, China.
References
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Dawkins P, Robertson AS, Robertson W, Moore V, Reynolds J, Langman G, Robinson E, Harris-Roberts J, Crook B, Burge PS,
An outbreak of extrinsic alveolitis at a car engine plant,
Occup Med,
2006;56:559-565,
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