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Hill walkers' lung.

Liam J Cormican1, P John Rees

  • 1Department of Respiratory Medicine, Kings College Hospital, London, UK. cormitron@yahoo.com

Respiration; International Review of Thoracic Diseases
|November 23, 2006
PubMed
Summary
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Inhalation of fluorochemical water repellent spray caused a prolonged respiratory illness. This case highlights sub-acute interstitial pneumonitis as a potential outcome of environmental chemical exposure.

Area of Science:

  • Environmental Medicine
  • Pulmonology
  • Toxicology

Background:

  • Fluorochemical-based water repellent sprays are commonly used for outdoor gear.
  • Inhalation exposure can lead to respiratory symptoms, though typically acute and severe.

Observation:

  • A healthy female developed sub-acute interstitial pneumonitis after inhaling fluorochemical spray.
  • Symptoms persisted for 15 weeks, longer than typical acute presentations.
  • Other family members with similar exposure were unaffected.

Findings:

  • Diagnostic workup including CT scans confirmed sub-acute interstitial pneumonitis.
  • The condition resolved slowly over 15 weeks post-exposure.
  • This presentation differs from the usual acute and rapidly resolving forms.

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Implications:

  • Sub-acute interstitial pneumonitis should be considered in unexplained respiratory symptoms after environmental chemical exposure.
  • Individuals engaged in outdoor activities are at potential risk.
  • Further research into delayed respiratory effects of such chemicals is warranted.