Review article
https://doi.org/10.2478/10004-1254-59-2008-1858
Work-Related Asthma in Automobile Spray Painters: Two Case Reports
Jordan Minov
orcid.org/0000-0002-9870-4756
; Institute of Occupational Health - WHO Collaborating Center for Occupational Health and GA2LEN, Skopje, Macedonia
Jovanka Karadžinska-Bislimovska
; Institute of Occupational Health - WHO Collaborating Center for Occupational Health and GA2LEN, Skopje, Macedonia
Kristin Vasilevska
; Institute of Epidemiology and Biostatistics, Skopje, Macedonia
Snežana Risteska-Kuc
; Institute of Occupational Health - WHO Collaborating Center for Occupational Health and GA2LEN, Skopje, Macedonia
Sašo Stoleski
; Institute of Occupational Health - WHO Collaborating Center for Occupational Health and GA2LEN, Skopje, Macedonia
Abstract
This report describes two patients who had developed asthma after working as automobile painters with isocyanate-based aerosol paint for two years or over. In both patients asthma was confirmed using the standard diagnostic procedure. One of the subjects was atopic. One was ex-smoker and the other had never smoked. Neither had a family history of asthma. The symptoms occurred after workplace exposure lasting two years in one patient and three in the other. As both reported work-relatedness of the symptoms, they underwent serial peak expiratory flow rate (PEFR) measurement and bronchoprovocation testing. Significant work-related changes in PEFR diurnal variations and in non-specific bronchial hyperresponsiveness (NSBH) were observed in one patient, suggesting allergic occupational asthma (OA), while the other patient was diagnosed work-exacerbated asthma (WEA). Our data confirm that spray painting is an occupation with increased risk of respiratory impairment and asthma.
Keywords
bronchial provocation tests; isocyanates; occupational asthma; peak expiratory flow rate; work-exacerbated asthma
Hrčak ID:
24820
URI
Publication date:
23.6.2008.
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