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Document ID (ISN)72628
CIS number 99-589
ISSN - Serial title 0271-3586 - American Journal of Industrial Medicine
Year 1998
Convention or series no.
Author(s) De Raeve H., Vandecasteele C., Demedts M., Nemery B.
Title Dermal and respiratory sensitization to chromate in a cement floorer
Bibliographic information Aug. 1998, Vol.34, No.2, p.169-176. Illus. 33 ref.
Abstract A 48-year-old floorer, occupationally exposed to cement and with a documented chromate contact dermatitis, reported dyspnoea and wheezing after work. These conditions were demonstrated by self-measured sequential peak expiratory flows. A first bronchial provocation test (BPT) with potassium dichromate led to pronounced and sustained decreases in forced expiratory volume in 1 second and forced vital capacity, accompanied by pruritis, a decrease in arterial PO2, a slight rise in temperature, and peripheral blood leukocytosis. Two years later, a BPT with a lower dose of potassium chromate led to an "early late" reaction accompanied by pruritis. A BPT with dry cement containing 12ppm hexavalent chromium was borderline, and a similar result was obtained after smoking 5 cigarettes laced with 10mg of cement per cigarette. The report shows that a subject with allergic contact dermatitis to chromates may develop a respiratory allergic reaction to an airborne source of this metal. Smoking of cigarettes contaminated with cement may have been a significant factor in the causation or elicitation of these reactions. Topics: allergic respiratory disorders; allergy tests; asthma; Belgium; potassium dichromate; case study; chromates; construction work; eczema; pulmonary function; sensitization dermatitis; sensitization; skin allergies; smoking.
Descriptors (primary) skin allergies; construction work; sensitization; chromates; allergic respiratory disorders
Descriptors (secondary) sensitization dermatitis; Belgium; case study; smoking; potassium dichromate; eczema; pulmonary function; allergy tests; asthma
Document type D - Periodical articles
Country / State or ProvinceBelgium
Subject(s) Construction industry
Broad subject area(s) Chemical safety
Browse category(ies) Inorganic substances
Allergies
Skin diseases
Diseases of the respiratory system (except for pneumoconiosis & similar)