Freeman A, Lockey J, Hawley P, Biddinger P, Trout D
University of Cincinnati Department of Environmental Health, Ohio 45267-0182, USA.
Am J Ind Med. 1998 Oct;34(4):387-92. doi: 10.1002/(sici)1097-0274(199810)34:4<387::aid-ajim13>3.0.co;2-z.
Hypersensitivity pneumonitis (HP), or extrinsic allergic alveolitis, is a patchy, interstitial lung disease that involves an immunologic reaction of the lung to repeated inhalation of foreign antigens. In this report, we describe a machinist with exposure to metalworking fluids (MWFs) and biopsy-confirmed HP. Return to work, which could be equated with a retrospective workplace-specific bronchoprovocation test, proved that working within an environment in which MWFs were used was associated with clinical deterioration in the patient's pulmonary status and with clinical improvement after removal from exposure.
过敏性肺炎（HP），即外源性过敏性肺泡炎，是一种斑片状间质性肺疾病，涉及肺部对反复吸入外来抗原的免疫反应。在本报告中，我们描述了一名接触金属加工液（MWF）且经活检确诊为HP的机械师。恢复工作（这可等同于一项回顾性的特定工作场所支气管激发试验）证明，在使用MWF的环境中工作与该患者肺部状况的临床恶化相关，而脱离该暴露环境后临床症状有所改善。
