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An Air-liquid Interface Bronchial Epithelial Model for Realistic, Repeated Inhalation Exposure to Airborne Particles for Toxicity Testing
Published on: May 13, 2020
[Isocyanate-induced alveolitis in a furniture manufacture worker]
1Institut universitaire romand de Santé au Travail (IST), rue du Bugnon 19, 1005 Lausanne, Suisse, France. Jacques.Holtz@inst.hospvd.ch
Insights
Exposure to heated Alcantara fabric in furniture manufacturing caused acute respiratory distress. Prompt intervention and removal from exposure led to full recovery, highlighting a new occupational hazard.
Area of Science:
- Occupational Health
- Toxicology
- Pulmonary Medicine
Background:
- Workplace exposure to synthetic materials can pose unforeseen health risks.
- Identifying the specific causal agent is crucial for effective treatment and prevention.
Observation:
- A furniture plant worker developed acute dyspnea after using a heated blade on Alcantara material.
- Chest X-ray revealed a restrictive syndrome, and bronchoalveolar lavage showed high lymphocytes with a low CD4/CD8 ratio, indicating alveolitis.
Findings:
- Alcantara, a polyurethane fabric, releases isocyanate monomers when heated.
- This exposure was identified as the cause of the patient's work-related alveolitis.
Implications:
- This case identifies a novel occupational risk associated with Alcantara use in furniture manufacturing.
- Eliminating exposure and using corticosteroid therapy resulted in complete recovery.
- Modifying work procedures effectively mitigated the identified occupational hazard.
Abstract:
A 41-year-old woman who worked in a furniture plant was admitted to hospital for acute dyspnea that had developed a few hours she marked pieces of "Alcantara" material with a heated metallic blade. The chest x-ray showed a restrictive syndrome. The lymphocyte count was high in the bronchioalveolar lavage fluid with a CD4/CD8 ratio of 0.11, leading to the diagnosis of alveolitis. Investigations at the work place allowed identification and evaluation of the causal agent. Alcantara is a synthetic fabric composed of 70% polyurethane fibers, which when burned produces isocyanate monomers. After eliminating exposure and institution of corticosteroid therapy, the outcome was good with complete recovery. The risk was eliminated by changing the work procedure. This risk has not been reported earlier for furniture manufacture.
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