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Comprehensive Review of Acute Respiratory Failure Following Inhalation Exposure to Waterproofing Agents

방수 스프레이 흡입 노출로 인한 급성 호흡기 중독 사례 및 원인 고찰

  • Park, Donguk (Department of Environmental Health, Korea National Open University) ;
  • Choi, Yeyong (Citizen's Center for Environment and Health)
  • 박동욱 (한국방송통신대학교 환경보건학과) ;
  • 최예용 (환경보건시민센터)
  • Received : 2012.11.06
  • Accepted : 2012.11.14
  • Published : 2012.12.31

Abstract

Background: In Korea, a healthy 36-year-old man developed acute interstitial pneumonitis soon after inhaling a waterproofing spray which he had applied at home to his outdoor jacket. Objectives: The objectives of this study were to review cases of varying degrees of respiratory toxicity and poisoning in connection with the use of waterproofing spray and summarize major reasons for cases of poisoning. Methods: We searched articles reporting on a combination of a waterproofing agent and/or respiratory symptoms, including acute respiratory syndrome, lung injury, pneumonia, pulmonary toxicity, and respiratory disease. Results: We reviewed a number of cases of varying degrees of respiratory toxicity and poisoning resulting from inhalation of waterproofing spray containing fluorocarbon co-polymer, solvents and propellants reported in a variety of countries. The literature searches concluded that among the ingredients of waterproofing agents, fluorinated polymer may cause acute respiratory health effects. Conclusion: Environmental policy should be implemented in order to prevent consumers from using household and industrial products including waterproofing agents. In addition, a national surveillance system should be created to collect cases of poisoning caused by the use of consumer products.

Keywords

References

  1. Muller-Esch G, Brunk E, Djonlagic H, Hoffmann J, Wiessmann KJ. Pulmonary effect of inhaling leather-impregnation sprays(author's transl). Deutsche Medizinische Wochenschrift. 1982; 107: 692- 695(abstract in Germany). https://doi.org/10.1055/s-2008-1070004
  2. Okonek S, Reinecke H, Fabricius W, Preussner K. Poisoning with leather-impregnation sprays. A retrospective analysis of 224 cases of poisoning. Dtsch. Med. Wochenschr. 1983; 108: 1863-1867 (abstract in Germany). https://doi.org/10.1055/s-2008-1069840
  3. Bonte F, Rudolphus A, Tan KY, Aerts JG. Severe respiratory symptoms following the use of waterproofing sprays. Nederlands Tijdschrift Voor Geneeskunde. 2003; 147: 1185-1188. (abstract in Germany).
  4. Kupferschmidt H. Epidemy of acute respiratory illness linked to use of waterproofing textile and leather spray. Journal of Toxicology: Clinical Toxicology. 2003; 41: 665-666.
  5. Heinzer R, Ribordy V, Kuzoe B, Lazor R, Fitting J. Recurrence of acute respiratory failure following use of waterproofing sprays. Thorax. 2004; 59: 541- 542.
  6. Lazor-Blanchet C, Rusca S, Vernez D, Berry R, Albrecht E, Droz PO, et al. Acute pulmonary toxicity following occupational exposure to a floor stain protector in the building industry in Switzerland. International Archives of Occupational and Environmental Health. 2004; 77: 244-248. https://doi.org/10.1007/s00420-004-0505-6
  7. Vernez DS, Droz PO, Lazor-Blanchet C, Jaques S. Characterizing emission and breathing-zone concentrations following exposure cases to fluororesinbased waterproofing spray mists. Journal of Occupational and Environmental Hygiene. 2004; 1: 582- 592. https://doi.org/10.1080/15459620490490084
  8. Heinzer R, Ribordy V, Kuzoe B, Lazor R, Fitting,J. Acute respiratory effects following use of waterproofing sprays: some UK experience. Thorax. 2004; 59: 541-542.
  9. Feilberg A, Tonning K, Jacobsen E, Hemmersam AG, Soborg I, Cohr KH. Survey and health assessment of possible health hazardous compounds in proofing sprays No. 98, 2008.
  10. Testud F, Gabrielle L, Paquin M, Descotes J. Alveolite aigue apres utilisation D'Un aerosol impermeabilisant: A propos de deux observations. La Revue De Medecine Interne. 1998; 19: 262-264 (abstract in France). https://doi.org/10.1016/S0248-8663(97)89328-9
  11. Daubert GP, Spiller HA, Crouch BI, Seiferta SA, Simone KE, Smolinske SC. Pulmonary toxicity following exposure to waterproofing grout sealer. Journal of Medical Toxicology. 2009; 5: 125-129. https://doi.org/10.1007/BF03161222
  12. Jinn Y, Akizuki N, Ohkouchi M, Inase N, Ichioka M, Marumo F. Acute lung injury after inhalation of water-proofing spray while smoking a cigarette. Respiration. 1998; 65: 486-488. https://doi.org/10.1159/000029320
  13. Tanino M, Kamishima K, Miyamoto H, Miyamoto K, Kawakami Y. Acute respiratory failure caused by inhalation of waterproofing spray fumes. Journal of the Japanese Respiratory Society. 1999; 37: 983- 986(abstract in Japan).
  14. Hashimoto K, Arita K, Kajihara T, Nitta T, Mito A, Awaya H, et al. Two cases of lung injury due to inhalation of waterproofing spray--with special reference to pulmonary function disorder. Journal of the Japanese Respiratory Society. 2009; 47: 367-371(abstract in Japan).
  15. Tagawa A, Ikehara K, Tsuburai T, Nishiyama H, Miyazawa N, Hashiba T, et al. Acute lung injury caused by inhalation of waterproofing spray. Journal of the Japanese Respiratory Society. 2003; 41: 123-126(abstract in Japan).
  16. Burkhart KK, Britt A, Petrini G, O'Donnell S, Ward J. Pulmonary toxicity following exposure to an aerosolized leather protector. Clinical Toxicology. 1996; 34: 21-24. https://doi.org/10.3109/15563659609020228
  17. Laliberte M, Sanfacon G, Blais R. Acute pulmonary toxicity linked to use of a leather protector. Annals of Emergency Medicine. 1995; 25: 841-844. https://doi.org/10.1016/S0196-0644(95)70217-2
  18. Lazor-Blanchet C, Rusca S, Vernez D, Berry R, Albrecht E, Droz PO, et al. Acute pulmonary toxicity following occupational exposure to a floor stain protector in the building industry in Switzerland. International Archives of Occupational and Environmental Health. 2004; 77: 244-248. https://doi.org/10.1007/s00420-004-0505-6
  19. Vernez D, Bruzzi R, Kupferschmidt H, De-Batz A, Droz P, Lazor R. Acute respiratory syndrome after inhalation of waterproofing sprays: A posteriori exposure-response assessment in 102 cases. Journal of Occupational and Environmental Hygiene. 2006; 3: 250-261. https://doi.org/10.1080/15459620600628845
  20. Norgaard AW, Larsen ST, Hammer M, Poulsen SS, Jensen KA, Nielsen GD, et al. Lung damage in mice after inhalation of nanofilm spray products: The role of perfluorination and free hydroxyl groups. Toxicological Sciences. 2010; 116: 216-224. https://doi.org/10.1093/toxsci/kfq094
  21. Yamashita M, Tanaka J. Pulmonary collapse and pneumonia due to inhalation of a waterproofing aerosol in female CD-I Mice. Clinical Toxicology. 1995; 33: 631-637. https://doi.org/10.3109/15563659509010620
  22. Toyama K, Kimura K, Miyashita M, Yanagisawa R, Nakata K. Case of lung edema occurring as a result of inhalation of fumes from a teflon-coated flying pan overheated for 4 Hours. Journal of the Japanese Respiratory Society. 2006; 44: 727-731 (abstract in Japan).
  23. Son M, Maruyama E, Shindo Y, Suganuma N, Sato S, Ogawa M. [Case of polymer fume fever with interstitial pneumonia caused by inhalation of polytetrafluoroethylene (Teflon)]. Japanese Journal of Toxicology. 2006; 19: 279(abstract in Japan).
  24. Nørgaard AW, Wolkoff P, Lauritsen FR. Characterization of nanofilm spray products by mass spectrometry. Chemosphere. 2010; 80: 1377-1386. https://doi.org/10.1016/j.chemosphere.2010.06.004
  25. Yamashita M, Tanaka J, Yamashita M, Hirai H, Suzuki M, Kajigaya H. Mist particle diameters are related to the toxicity of waterproofing sprays: Comparison between toxic and non-toxic products. Veterinary and Human Toxicology. 1997; 39: 71-74.
  26. Wallace G MF, Brown PH. Horse rug lung: toxic pneumonitis due to fluorocarbon inhalation. Occup Environ Med 2005; 62: 414-16. https://doi.org/10.1136/oem.2004.015784
  27. Ebbecke M, Schaper A, Kotseronis N, Desel H. Toxicovigilance of German poisons Centers. An epidemic of serious intoxications caused by new sealing sprays based on nanotechnology. Clin Toxicol 2007; 45: 337-8 (abstract).

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