Epidemic outbreak of interstitial lung disease in aerographics textile workers--the "Ardystil syndrome": a first year follow up.
BACKGROUND
The longer term respiratory effects of massive inhalational exposure of textile printing sprayers to Acramin (the "Ardystil syndrome") are not well established.


METHODS
A 12 month follow up of 27 heavily exposed textile sprayers was performed.


RESULTS
Twenty one patients experienced cough, 18 dyspnoea, and 17 nose bleeding at initial exposure, with histological evidence of organising pneumonia in 13 cases, radiological abnormalities detected by computed tomographic scanning in 20 cases, and diminution of diffusion capacity to below 80% of predicted in seven cases. At one year after exposure symptoms persisted in 15 cases, radiological alterations in six, and diffusion capacity was reduced in nine.


CONCLUSIONS
Whilst most of our patients showed improvement at one year, evidence of persistent lung involvement was present in an appreciable minority of exposed cases.
Solé
A
A
Service of Pneumology, La Fe University Hospital, Valencia, Spain.
Cordero
P J
PJ
Morales
P
P
Martínez
M E
ME
Vera
F
F
Moya
C
C
D000293:Adolescent; D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000328:Adult; D000336:Aerosols; D004396:Coloring Agents / Q000009:adverse effects*; D004196:Disease Outbreaks; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D009784:Occupational Diseases / Q000139:chemically induced* / Q000188:drug therapy; D016273:Occupational Exposure / Q000009:adverse effects*; D011658:Pulmonary Fibrosis / Q000139:chemically induced* / Q000188:drug therapy; D012129:Respiratory Function Tests; D013783:Textile Industry; D014057:Tomography, X-Ray Computed
D000305:Adrenal Cortex Hormones; D000336:Aerosols; D004396:Coloring Agents