Occupational asthma in textile worker: A case report
DOI:
https://doi.org/10.14456/dcj.2021.57Keywords:
occupational asthma, textile material, cotton dustAbstract
This is a case report of one 40-year-old, male patient. He presented with chest tightness and dyspnea. He was discovered by occupational medicine physician. These symptoms occurred at midnight and resulted in emergency treatment at a nearby hospital, after working for three years in a local cotton factory. He was normal on physical examination, but the results of pulmonary function tests showed obstructive small airway (FVC 4.13 L (97%), FEV1 / FVC = 75%. The change of FEV1 after giving the bronchodilator was 5%, FEF25-75% measured at 149L / min (69% predicted)). As a specific history of asthma, the methacholine challenge test was performed. The result was 0.998 mg/ml, indicating moderate to severe bronchial hyperresponsiveness, so he had been diagnosed with asthma. Therefore, the serial peak expiratory flow (serial PEF) was done, and computer-analysis tools (Oasys) were used to diagnose occupational asthma due to exposure to cotton dust. This report showed the importance of history of occupational exposure in textile industry, differential diagnosis and problems of diagnosing occupational asthma. Occupational asthma is a preventable disease. If early diagnosis were performed, a good prognosis would be obtained. If correct diagnosis was performed, this occupational health threat among other workers would be prevented by implementing appropriate occupational hazard control measures.
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References
Tarlo SM, Lemière C. Occupational asthma. New Engl J Med 2014;370(7):640–9.
Malo J-L, Chan-Yeung M. Asthma in the workplace: A Canadian contribution and perspective. Can Respir J. 2007;14(7):407–13.
Fish JE. Occupational asthma and rhinoconjunctivitis induced by natural rubber latex exposure. J Allergy Clin Immunol. 2002;110-S75
Jongkumchok W, Chaiear N, Boonsawat W, Chaisuksant S. Occupations and causative agents among work-related asthma patients in easy asthma. Am J Public Heal Res 2018;6(2):111–6.
Wortong D, Chaiear N, Boonsawat W. Occupations and stimulating agents of asthma amongst asthmatic patients in asthma clinic , Srinagarind Hospital , Khon Kaen Province. Srinagarind Med J. 2014;29(3):223–30.
Jeebhay MF, Quirce S. Sate of the art edited by M. Chan-Yeung. Occupational asthma in the developing and industrialised world : a review. Africa (Lond). 2007;11(May 2006):122–33.
Feary J, Pinnock H, Cullinan P. Easily missed ? occupational asthma. Clin Asthma Theory Pract [Internet]. 2014 [cited 2020 Feb 1]. p 247–57. Available from: http://dx.doi.org/doi:10.1136/bmj.i2658
Poonai N, Diepen S van, Tarlo SM, Bharatha A, Manduch M, Deklaj T. Barriers to diagnosis of occupational asthma in Ontario. Can J Public Heal 2005;96(3):3–6.
Christiani DC, Wang X, Pan L, Zhang H, Sun B, Dai H, et al. Longitudinal Changes in Pulmonary Function and Respiratory Symptoms in Cotton Textile Workers. Am J Respir Crit Care Med. 2001;163:847–53.
Roach SA, Schilling RS. A clinical and environmental study of byssinosis in the Lancashire cotton industry. Br J Ind Med. 1960;17:1–9.
Fishwick D, Pickering CAC. Byssinosis - A form of occupational asthma? Thorax. 1992;47(6):401–3.
Baur X, Sigsgaard T, Aasen TB, Burge PS, Heederik D, Henneberger P, et al. Guidelines for the management of work-related asthma. Eur Respir J. 2012;39(3):529–45.
Chaari N, Amri C, Allagui I, Bouzgarrou L, Henchi M, Bchir N, et al. Work Related Asthma in the Textile Industry. Recent Pat Inflamm Allergy Drug Discov. 2011;5(1):37–44.
Phakthongsuk P, Sangsupawanich P, Musigsan A, Thammakumpee G. Work-related respiratory symptoms among cotton-fabric sewing workers. Int J Occup Med Environ Health. 2007;20(1):17–24.
Er M, Emri SA, Demir AU, Thorne PS, Karakoca Y, Bilir N, et al. Byssinosis and COPD rates among factory workers manufacturing hemp and jute. Int J Occup Med Environ Health. 2016;29(1):55–68.
Douwes J, Thorne P, Pearce N, Heederik D. Bioaerosol health effects and exposure assessment: Progress and prospects. Ann Occup Hyg. 2003;47(3):187–200.
Lai PS, Christiani DC. Long term respiratory health effects in textile workers. Curr Opin Pulm Med 2014;19(2):152–7.
Quirce S, Sastre J. Occupational asthma. Allergy 1998;633–41.
Kibria G, Rahman F, Chowdhury D, Uddin N. Effects of printing with different thickeners on cotton fabric with reactive dyes. J Polym Text Eng 2018;5(1):5–10.
Lombardo LJ, Balmes JR. Occupational asthma : a review. Environ Health Perspect 2000;108:697–704.
Jeebhay MF. Work related asthma can be responsible for up to 25% of all adult asthma. CME 2009;27(11):496–501.
Torén K, Blanc PD. Asthma caused by occupational exposures is common - A systematic analysis of estimates of the population-attributable fraction. BMC Pulm Med. 2009;9:1–10.
Vandenplas O, Suojalehto H, Cullinan P. Diagnosing occupational asthma. Clin Exp Allergy. 2016;(47):6–18.
Malo J-L, Chan-Yeung M, Bernstein DI. Asthma in the workplace. 4th ed, part IV specific agents causing immunological occupational asthma. Florida: CRCPress; 2013. 262-275 p.
Malo J-L, Chan-Yeung M, Bernstein DI. Asthma in the workplace. 4th edition, part V specific disease entities and variants. Florida: CRCPress; 2013. 357-405 p.
Global Initiative for Asthma. A pocket guide for health professionals updated 2020. GINA. [Internet]. 2020. [cited 2020 May 13]. p.1–32. Available from: https://ginasthma.org/wp-content/uploads/2020/06/GINA-2020-report_20_06_04-1-wms.pdf
Ladou J, Harrison RJ. Current occupational and environmental medicine. 5thedition. San Francisco: Lange medical books/McGraw Hill; 2014. 362–85 p.
Global Initiative for chronic obstructive lung disease. Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease. 2019. [cited 2020 Oct 5]. Available from: https://goldcopd.org/wp-content/uploads/2018/11/GOLD-2019-v1.7-FINAL-14Nov2018-WMS.pdf.
National Institute for Occupational Safety and Health(NIOSH). Pneumoconioses [Internet]. 2011 [cited 2020 Oct 5]. Availabler from: https://www.cdc.gov/niosh/topics/
pneumoconioses/default.html#iden
Tarlo SM. Canadian Thoracic Society. Guidelines for occupational asthma. Can Respir J. 1998;5(4):289–300.
Bjermer L. The role of small airway disease in asthma. Curr Opin Pulm Med. 2014;20(1):23–30.
Katsoulis KK, Kostikas K, Kontakiotis T. Techniques for assessing small airways function: Possible applications in asthma and COPD. Respir Med. 2016;119:e2–9.
The Oasys research group. Occupational asthma: general: interpreting the Oasys report [Internet]. [cited 2020 Jun 20]. Available from: http://www.occupationalasthma.com/
occupational_asthma_pageview.aspx?id=4560
Diagnostic criteria of occupational diseases commemorativeedition on the auspicious occasion of His Majesty The King"s 80th Birthday anniversary 5 December 2007. 2007. 276–278 p.
Social Security Office (Thailand.Guideline for assessment of physical and mental impairment, revised edition 2016. Saeng Chan Printing LP; 2016. 493–520 p.
Tarlo SM. Critical aspects of the history of occupational asthma. Allergy, Asthma,
Clin Immunol. 2006;2(C):74–7.
Devaraj NK, Rashid AA, Shamsuddin NH, Afifuddin A. Occupational asthma as a differential diagnosis of adult-onset asthma – A case report. 2019;15(2):145–7.
Health and Safety Executive (HSE). Dust [Internet]. [cited 2020 Oct 5]. Available from: https://www.hse.gov.uk/textiles/dust.htm
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