A Case of Bronchiolitis Obliterans after Exposure to Nitrogen Dioxide / 대한산업의학회지
Korean Journal of Occupational and Environmental Medicine
; : 64-68, 2010.
Artigo
em Coreano
| WPRIM (Pacífico Ocidental)
| ID: wpr-117292
Biblioteca responsável:
WPRO
ABSTRACT
INTRODUCTION:
Irritant gases and aerosols are capable of inducing acute, irritant lung injury. Lung injury caused by the inhaling nitrogen dioxide (NO2) has been known as silo-filler's disease in western countries. In Korea, acute pulmonary edema after NO2 inhalation in an industrial environment has been reported. We report here on a case of bronchiolitis obliterans after inhalation of NO2. CASE REPORT A 54-year-old male was admitted to the hospital with dyspnea and fever. Three weeks perviously, he was diagnosed with acute pulmonary edema after occupational exposure of NO2 and he was treated with corticosteroid for 2 weeks. After cessation of the corticosteroid, he developed dyspnea and fever. High resolution computed tomography (HRCT) showed ill-defined centrilobular nodules and patterns of mosaic perfusion; this all suggested air-trapping due to bronchiolitis obliterans. We diagnosed the patient as having bronchiolitis obliterans after acute pulmonary edema due to NO2 inhalation. The corticosteroid treatment was restarted and continued for 8 weeks.CONCLUSION:
NO2 induced lung injuries have variable clinical features. Close observation is needed for 6 to 8 weeks because recurrence with bronchiolitis obliterans may be seen several weeks later.
Texto completo:
Disponível
Contexto em Saúde:
ODS3 - Meta 3.9 Reduzir as mortes por produtos químicos y contaminação do ar, água e solo
Problema de saúde:
Exposições Ocupacionais
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Edema Pulmonar
/
Recidiva
/
Bronquiolite
/
Bronquiolite Obliterante
/
Inalação
/
Exposição Ocupacional
/
Aerossóis
/
Dispneia
/
Lesão Pulmonar
/
Febre
Limite:
Humanos
/
Masculino
País/Região como assunto:
Ásia
Idioma:
Coreano
Revista:
Korean Journal of Occupational and Environmental Medicine
Ano de publicação:
2010
Tipo de documento:
Artigo