RESUMO
From 1970 to 1981, acute glafenineeeeeeee poisoning was observed in 106 patients, including 37 with acute renal insufficiency (ARI). From 1977 to 1982, the search for anti-glafenin antibodies was carried out systematically by direct and indirect tests for antiglobulin on erythrocytes, and by leucoagglutination and complement fixation tests on platelets in the presence of glafenin. An antibody was detected in only one of the 17 ARI patients studied. This antibody, IgM, has been studied along with glafenin, floctafenin, antrafenin and their metabolites. The rareness of such an antibody confirms the direct nephrotoxic action of glafenin, a drug responsible for half of the renal insufficiencies observed in an intensive care unit specialized in toxicology.
Assuntos
Injúria Renal Aguda/induzido quimicamente , Anticorpos/análise , Glafenina/intoxicação , ortoaminobenzoatos/intoxicação , Injúria Renal Aguda/imunologia , Adulto , Glafenina/imunologia , Humanos , Imunoglobulina M/análise , MasculinoRESUMO
Workers at two continental European enzyme detergent plants were examined to determine respiratory symptomatology, pulmonary function abnormalities and skin reactivity to four enzymes through use of a standardized questionnaire, flow-volume curves and provocative acetylcholine, single breath carbon monoxide, and prick tests. In both plants, the frequency of bronchitis was similar but the frequency of asthmatic or rhinopharyngitic symptoms was different. Symptomatology was more frequent in female detergent workers than among the clerical staff but no difference among men in different jobs was noted. Very few spirometric abnormalities were observed but bronchial hyperactivity was more frequent in packaging and warehouse workers. No correlation between DLco/AV and of work or skin reactivity was found. Skin reactivity (about 10% in both plants) and duration of employment were not related to symptomatology nor functional abnormalities.
