Occupational acute anaphylactic reaction to assault by perfume spray in the face.
BACKGROUND
Perfumes have been associated with rashes in employees exposed to scented soaps or with allergic conditions, such as rhinitis or asthma, in employees exposed to perfumes or fragrances in the air.


METHODS
Reported here is a case of an anaphylactic reaction and respiratory distress as a result of a deliberate assault with a perfume spray. The medical literature was searched using the key words "fragrances," "respiratory distress," "assault," and "health care workers."


RESULTS
A female medical assistant with no history of asthma or reactions to fragrances was assaulted by a patient, who pumped three sprays of a perfume into her face. The employee experienced an acute anaphylactic reaction with shortness of breath, a suffocating sensation, wheezes, and generalized urticaria, and required aggressive medical treatment, a long period of oral bronchodilator therapy, and, finally, weaning from the medications.


CONCLUSIONS
Perfumes are complex mixtures of more than 4,000 vegetable and animal extracts and organic and nonorganic compounds. Fragrances have been found to cause exacerbations of symptoms and airway obstruction in asthmatic patients, including chest tightening and wheezing, and are a common cause of cosmetic allergic contact dermatitis. In many work settings the use of fragrances is limited. Assault is becoming more common among workers in the health care setting. Workers should be prepared to take immediate steps should an employee go into anaphylactic shock.
Lessenger
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JE
D000328:Adult; D000336:Aerosols; D000707:Anaphylaxis / Q000139:chemically induced* / Q000188:drug therapy; D001993:Bronchodilator Agents / Q000627:therapeutic use; D005145:Face; D005260:Female; D006801:Humans; D016273:Occupational Exposure; D010476:Perfume / Q000009:adverse effects* / Q000737:chemistry; D014481:United States; D014754:Violence
D000336:Aerosols; D001993:Bronchodilator Agents; D010476:Perfume