1
|
Kodaka N, Nakano C, Oshio T, Watanabe K, Niitsuma K, Imaizumi C, Hirouchi T, Yoshida Y, Yamada Y, Matsuse H. Waterproofing Spray-Associated Lung Injury Review: Differences between Cases of Early and Delayed Improvement of Waterproofing Spray-Associated Lung Injury. J Clin Med 2023; 12:jcm12062404. [PMID: 36983404 PMCID: PMC10053488 DOI: 10.3390/jcm12062404] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2023] [Revised: 03/02/2023] [Accepted: 03/15/2023] [Indexed: 03/30/2023] Open
Abstract
Waterproofing spray-associated lung injury (WALI) is an acute respiratory disorder characterized by bilateral diffuse lung injury on chest computed tomography (CT). In most cases, the symptoms and abnormal radiographic findings of WALI patients improve spontaneously over several days; however, some cases have persistent symptoms and abnormal shadows for >1 week. The distinctive features of each WALI are unknown. Herein, we present two new cases of WALI that we encountered in our hospital, and we previously reported two other cases of WALI. We examined the characteristics of WALI in our cases and 39 other cases of WALI definitively diagnosed and reported in PubMed and the Japan medical board with verifiable data during a 15-year period. We compared the clinical characteristics of the 22 cases in which the patients' symptoms were resolved within 1 week (early improvement) to those of the 21 cases in which the symptoms were resolved after >1 week (delayed improvement). The WALI cases with delayed improvement had significantly more shadowing that extended over the entire lung field and was not biased in intensity toward the upper or lower lung field. In addition, the serum white blood cell (WBC) counts and serum Krebs von den Lungen-6 (KL-6) levels differed significantly between the cases of early and delayed improvement of WALI.
Collapse
Affiliation(s)
- Norio Kodaka
- Division of Respiratory Medicine, Department of Internal Medicine, Toho University Ohashi Medical Center, 2-22-36 Ohashi, Meguro-ku, Tokyo 153-8515, Japan
| | - Chihiro Nakano
- Division of Respiratory Medicine, Department of Internal Medicine, Toho University Ohashi Medical Center, 2-22-36 Ohashi, Meguro-ku, Tokyo 153-8515, Japan
| | - Takeshi Oshio
- Division of Respiratory Medicine, Department of Internal Medicine, Toho University Ohashi Medical Center, 2-22-36 Ohashi, Meguro-ku, Tokyo 153-8515, Japan
| | - Kayo Watanabe
- Division of Respiratory Medicine, Department of Internal Medicine, Toho University Ohashi Medical Center, 2-22-36 Ohashi, Meguro-ku, Tokyo 153-8515, Japan
| | - Kumiko Niitsuma
- Division of Respiratory Medicine, Department of Internal Medicine, Toho University Ohashi Medical Center, 2-22-36 Ohashi, Meguro-ku, Tokyo 153-8515, Japan
| | - Chisato Imaizumi
- Division of Respiratory Medicine, Department of Internal Medicine, Toho University Ohashi Medical Center, 2-22-36 Ohashi, Meguro-ku, Tokyo 153-8515, Japan
| | - Takatomo Hirouchi
- Division of Respiratory Medicine, Department of Internal Medicine, Toho University Ohashi Medical Center, 2-22-36 Ohashi, Meguro-ku, Tokyo 153-8515, Japan
| | - Yuto Yoshida
- Division of Respiratory Medicine, Department of Internal Medicine, Toho University Ohashi Medical Center, 2-22-36 Ohashi, Meguro-ku, Tokyo 153-8515, Japan
| | - Yuka Yamada
- Division of Respiratory Medicine, Department of Internal Medicine, Toho University Ohashi Medical Center, 2-22-36 Ohashi, Meguro-ku, Tokyo 153-8515, Japan
| | - Hiroto Matsuse
- Division of Respiratory Medicine, Department of Internal Medicine, Toho University Ohashi Medical Center, 2-22-36 Ohashi, Meguro-ku, Tokyo 153-8515, Japan
| |
Collapse
|
2
|
Kawaguchi T, Tachiwada T, Yamasaki K, Nakamura K, Katafuchi E, Tahara M, Isoshima Y, Ohira H, Kawabata H, Hara K, Yatera K. An Autopsy Case of An Acute Exacerbation of Idiopathic Pulmonary Fibrosis Triggered by the Inhalation of a Waterproofing Spray. Intern Med 2022; 61:1881-1886. [PMID: 34776487 PMCID: PMC9259825 DOI: 10.2169/internalmedicine.8330-21] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
An 82-year-old Japanese man with idiopathic pulmonary fibrosis (IPF) experienced dyspnea after using a waterproofing spray in a closed room. He presented with hypoxemia and his chest computed tomography showed additive bilateral diffuse ground-glass attenuation on fibrosis, which was diagnostic of an acute exacerbation of IPF (AE-IPF). Combined treatment with high-dose corticosteroids and immunosuppressants were ineffective, and he later died of respiratory failure. Autopsy findings showed diffuse alveolar damage with honeycombing. His medical history and autopsy histopathology suggested AE-IPF caused by the inhalation of a waterproofing spray.
Collapse
Affiliation(s)
- Takako Kawaguchi
- Department of Respiratory Medicine, University of Occupational and Environmental Health, Japan
| | - Takashi Tachiwada
- Department of Respiratory Medicine, University of Occupational and Environmental Health, Japan
| | - Kei Yamasaki
- Department of Respiratory Medicine, University of Occupational and Environmental Health, Japan
| | - Kei Nakamura
- Department of Respiratory Medicine, University of Occupational and Environmental Health, Japan
| | - Eisuke Katafuchi
- Department of Pathology, University of Occupational and Environmental Health, Japan
| | - Masahiro Tahara
- Department of Respiratory Medicine, University of Occupational and Environmental Health, Japan
| | - Yu Isoshima
- Department of Respiratory Medicine, University of Occupational and Environmental Health, Japan
| | - Hidenori Ohira
- Department of Respiratory Medicine, University of Occupational and Environmental Health, Japan
| | - Hiroki Kawabata
- Department of Respiratory Medicine, University of Occupational and Environmental Health, Japan
| | - Kanako Hara
- Department of Respiratory Medicine, University of Occupational and Environmental Health, Japan
| | - Kazuhiro Yatera
- Department of Respiratory Medicine, University of Occupational and Environmental Health, Japan
| |
Collapse
|
3
|
Shimoda M, Tanaka Y, Fujiwara K, Furuuchi K, Osawa T, Morimoto K, Yano R, Kokutou H, Yoshimori K, Ohta K. Waterproofing spray-associated pneumonitis review: Comparison with acute eosinophilic pneumonia and hypersensitivity pneumonitis. Medicine (Baltimore) 2021; 100:e25054. [PMID: 33725891 PMCID: PMC7969297 DOI: 10.1097/md.0000000000025054] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/25/2020] [Accepted: 02/13/2021] [Indexed: 01/05/2023] Open
Abstract
Waterproofing spray-associated pneumonitis (WAP) proceeds to acute respiratory failure and is characterized by diffuse bilateral ground-glass opacities on computed tomography; however, the detailed characteristics of WAP are unknown. Therefore, this study identified the characteristics of WAP from comparisons with those of acute eosinophilic pneumonia (AEP) and hypersensitivity pneumonitis (HP), which show similar features to WAP.Adult patients with WAP, AEP, and HP treated in Fukujuji Hospital from 1990 to 2018 were retrospectively enrolled. Furthermore, data from patients with WAP were collected from publications in PubMed and the Japan Medical Abstracts Society and combined with data from our patients.Thirty-three patients with WAP, eleven patients with AEP, and thirty patients with HP were reviewed. Regarding age, sex, smoking habit, and laboratory findings (white blood cell count, C-reactive protein level, and serum Krebs von den Lungen-6 level), WAP and AEP were not significantly different, while WAP and HP were significantly different. The duration from symptom appearance to hospital visit was shorter in patients with WAP (median 1 day) than in patients with AEP (median 3 days, P = .006) or HP (median 30 days, P < .001). The dominant cells in the bronchoalveolar lavage fluid of patients with WAP, AEP, and HP were different (macrophages, eosinophils, and lymphocytes, respectively).The characteristic features of WAP were rapid disease progression and macrophage dominance in the bronchoalveolar lavage fluid, and these characteristics can be used to distinguish among WAP, AEP, and HP.
Collapse
|
4
|
Hellemons ME, Moor CC, von der Thüsen J, Rossius M, Odink A, Thorgersen LH, Verschakelen J, Wuyts W, Wijsenbeek MS, Bendstrup E. Desquamative interstitial pneumonia: a systematic review of its features and outcomes. Eur Respir Rev 2020; 29:29/156/190181. [PMID: 32581140 PMCID: PMC9488565 DOI: 10.1183/16000617.0181-2019] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2019] [Accepted: 01/29/2020] [Indexed: 12/31/2022] Open
Abstract
Background Desquamative Interstitial Pneumonia (DIP) is a rare form of idiopathic interstitial pneumonia (IIP). Data on clinical features, aetiology, prognosis and effect of treatment strategies are limited. We aimed to collect all published cases to better characterise DIP. Methods A systematic literature search was performed for all original cases of adult patients with histopathologically-confirmed DIP. Individual patient data were extracted and summarised. Results We included 68 individual cases and 13 case series reporting on 294 cases. Most common presenting symptoms were dyspnoea and cough. Pulmonary function showed a restrictive pattern (71%) with decreased diffusion capacity. We found a high incidence (81%) of ever smoking in patients with DIP and 22% of patients had other (occupational) exposures. Characteristic features on high-resolution computed tomography (HRCT) scan were bilateral ground-glass opacities with lower lobe predominance (92%). Treatment and duration of treatment widely varied. Initial response to treatment was generally good, but definitely not uniformly so. A significant proportion of patients died (25% of individual cases) or experienced a relapse (18% of individual cases). Conclusion DIP remains an uncommon disease, frequently but not always related to smoking or other exposures. Furthermore, DIP behaves as a progressive disease more often than generally thought, possibly associated with different underlying aetiology. This systematic review is the most comprehensive collection of published cases of DIP to date and yields novel information about aetiology, clinical characteristics, radiology and pathology features, treatment and outcomes.http://bit.ly/394YRPv
Collapse
Affiliation(s)
- Merel E Hellemons
- Dept of Interstitial Lung Disease, Erasmus Medical Center, Rotterdam, The Netherlands.,This centre is a member of the European Reference Network for Rare Lung Diseases/Interstitial Lung Diseases (ERN-LUNG ILD).,These authors share first authorship
| | - Catharina C Moor
- Dept of Interstitial Lung Disease, Erasmus Medical Center, Rotterdam, The Netherlands.,This centre is a member of the European Reference Network for Rare Lung Diseases/Interstitial Lung Diseases (ERN-LUNG ILD).,These authors share first authorship
| | - Jan von der Thüsen
- Dept of Pathology, Erasmus Medical Center, Rotterdam, The Netherlands.,This centre is a member of the European Reference Network for Rare Lung Diseases/Interstitial Lung Diseases (ERN-LUNG ILD)
| | - Mariska Rossius
- Dept of Radiology and Nuclear Medicine, Erasmus Medical Center, Rotterdam, The Netherlands.,This centre is a member of the European Reference Network for Rare Lung Diseases/Interstitial Lung Diseases (ERN-LUNG ILD)
| | - Arlette Odink
- Dept of Radiology and Nuclear Medicine, Erasmus Medical Center, Rotterdam, The Netherlands.,This centre is a member of the European Reference Network for Rare Lung Diseases/Interstitial Lung Diseases (ERN-LUNG ILD)
| | | | - Johny Verschakelen
- Dept of Radiology, University Hospital Leuven, Leuven, Belgium.,This centre is a member of the European Reference Network for Rare Lung Diseases/Interstitial Lung Diseases (ERN-LUNG ILD)
| | - Wim Wuyts
- Unit of Interstitial Lung Disease, University Hospital Leuven, Leuven, Belgium.,This centre is a member of the European Reference Network for Rare Lung Diseases/Interstitial Lung Diseases (ERN-LUNG ILD).,These authors share senior authorship
| | - Marlies S Wijsenbeek
- Dept of Interstitial Lung Disease, Erasmus Medical Center, Rotterdam, The Netherlands .,This centre is a member of the European Reference Network for Rare Lung Diseases/Interstitial Lung Diseases (ERN-LUNG ILD).,These authors share senior authorship
| | - Elisabeth Bendstrup
- Dept of Respiratory Diseases and Allergy, Center for Rare Lung Diseases, Aarhus University Hospital, Aarhus, Denmark.,This centre is a member of the European Reference Network for Rare Lung Diseases/Interstitial Lung Diseases (ERN-LUNG ILD).,These authors share senior authorship
| |
Collapse
|
5
|
Diken ÖE, Şengül A, Beyan AC, Ayten Ö, Mutlu LC, Okutan O. Desquamative interstitial pneumonia: Risk factors, laboratory and bronchoalveolar lavage findings, radiological and histopathological examination, clinical features, treatment and prognosis. Exp Ther Med 2019; 17:587-595. [PMID: 30651839 DOI: 10.3892/etm.2018.7030] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2016] [Accepted: 06/29/2017] [Indexed: 12/18/2022] Open
Abstract
Desquamative interstitial pneumonia is a type of smoking-associated major idiopathic interstitial pneumonia, which is characterized by accumulation of alveolar macrophages in alveolar lumens and septa and develops secondary to mainly active or passive exposure to cigarette smoke. Desquamative interstitial pneumonia mostly occurs in male smokers in association with non-specific symptoms responsive to steroid therapy and has a better prognosis than usual interstitial pneumonia. To date, no large-scale clinical studies have been performed on desquamative interstitial pneumonia patients. Factors responsible for the scarcity of data on the clinical course of this condition include the retrospective nature of the available information as well as its rare occurrence. Despite this, a general consensus exists as to the nature of its symptoms, association with smoking, age and gender distribution, findings of respiratory function tests, steroid responsivity and mortality. The objective of the present review article was to report on desquamative interstitial pneumonia and to describe its etiology, risk factors and clinical features, as well as the laboratory, bronchoalveolar lavage, radiological and histopathological findings, and the treatment and prognosis of affected patients.
Collapse
Affiliation(s)
- Özlem Erçen Diken
- Department of Chest Diseases, Hitit University School of Medicine, 19100 Çorum, Turkey
| | - Aysun Şengül
- Department of Chest Diseases, Kocaeli Derince Education and Research Hospital, 41900 Kocaeli, Turkey
| | - Ayşe Coşkun Beyan
- Department of Chest Diseases, Dokuz Eylül University School of Medicine, 35800 İzmir, Turkey
| | - Ömer Ayten
- Department of Chest Diseases, GATA Education and Research Hospital, 34744 İstanbul, Turkey
| | - Levent Cem Mutlu
- Department of Chest Diseases, Namık Kemal University School of Medicine, 59000 Tekirdağ, Turkey
| | - Oğuzhan Okutan
- Department of Chest Diseases, GATA Education and Research Hospital, 34744 İstanbul, Turkey
| |
Collapse
|
6
|
Effets sur la santé associés à l’inhalation d’imperméabilisants ou d’autres aérosols de résines hydrophobes. Revue de la littérature. TOXICOLOGIE ANALYTIQUE ET CLINIQUE 2018. [DOI: 10.1016/j.toxac.2018.02.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
|
7
|
Harada T, Hirabayashi Y, Takayama-Isagawa Y, Sakamoto H, Kawaishi M, Hara H, Aizawa S. Pulmonary Injury from Waterproofing Spray During a Hike. Wilderness Environ Med 2017; 28:327-331. [PMID: 28927548 DOI: 10.1016/j.wem.2017.07.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2017] [Revised: 06/21/2017] [Accepted: 07/07/2017] [Indexed: 10/18/2022]
Abstract
A 48-year-old man developed general fatigue, dyspnea, and fever at an altitude of 1562 m from the morning of the first day of a 3-day hike. Despite pharyngeal discomfort and mild general fatigue, he felt that the symptoms were not sufficient to abandon his plan. He usually required 1.5 hours to reach Tokusawa (6.4 km from the starting point at an altitude of 1500 m), but this time he required 2.5 hours and slept briefly upon arrival at Tokusawa due to extreme fatigue and respiratory discomfort. His symptoms became aggravated, so he presented at a mountain clinic with oxygen saturation at 80% and body temperature of 37.6ºC. He was diagnosed with hypoxemia due to pneumonia and/or other disease(s) and was evacuated to a hospital where a chest computed tomography scan revealed ground glass opacity and infiltrative shadows. He was treated for pneumonia, but another doctor discovered during follow-up that the patient had sprayed 300 mL of a waterproofing aerosol on mountain equipment in a nonventilated, enclosed area of his home on the night before starting out on the hike. Therefore, waterproofing spray was considered to have caused pulmonary damage. Self-reporting or appropriate questionnaires are the only means of identifying this type of injury. The differential diagnosis of pulmonary problems in an outdoor setting should include toxic aerosol exposure from waterproofing spray.
Collapse
Affiliation(s)
- Tomonori Harada
- Nihon University School of Medicine Tokusawa Clinic, Nagano, Japan (Drs Harada, Hirabayashi, Takayama-Isagawa, Hara, and Aizawa); Division of Anatomical Science, Department of Functional Morphology, Nihon University School of Medicine, Tokyo, Japan (Drs Harada, Hara, and Aizawa).
| | - Yukio Hirabayashi
- Nihon University School of Medicine Tokusawa Clinic, Nagano, Japan (Drs Harada, Hirabayashi, Takayama-Isagawa, Hara, and Aizawa); Division of Hematology, NHO Matsumoto Medical Center, Nagano, Japan (Dr Hirabayashi)
| | - Yuriko Takayama-Isagawa
- Nihon University School of Medicine Tokusawa Clinic, Nagano, Japan (Drs Harada, Hirabayashi, Takayama-Isagawa, Hara, and Aizawa); Division of Digestive Surgery, Nihon University School of Medicine, Tokyo, Japan (Dr Takayama-Isagawa)
| | | | - Makoto Kawaishi
- Division of Respiratory Diseases, Department of Internal Medicine, Jikei University School of Medicine, Tokyo, Japan (Dr Kawaishi)
| | - Hiroyuki Hara
- Nihon University School of Medicine Tokusawa Clinic, Nagano, Japan (Drs Harada, Hirabayashi, Takayama-Isagawa, Hara, and Aizawa); Division of Anatomical Science, Department of Functional Morphology, Nihon University School of Medicine, Tokyo, Japan (Drs Harada, Hara, and Aizawa)
| | - Shin Aizawa
- Nihon University School of Medicine Tokusawa Clinic, Nagano, Japan (Drs Harada, Hirabayashi, Takayama-Isagawa, Hara, and Aizawa); Division of Anatomical Science, Department of Functional Morphology, Nihon University School of Medicine, Tokyo, Japan (Drs Harada, Hara, and Aizawa)
| |
Collapse
|
8
|
Biopsy-proven hypersensitivity pneumonitis caused by a fluorocarbon waterproofing spray. Occup Med (Lond) 2017; 67:308-310. [DOI: 10.1093/occmed/kqx039] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
|