Horse rug lung: toxic pneumonitis due to fluorocarbon inhalation.
Fluorocarbons are widely used in industry, and manifestations of inhalation toxicity include polymer fume fever, reactive airways dysfunction, and bronchospasm. Only seven cases of alveolitis occurring acutely after inhalation have been reported. This paper presents four cases of toxic pneumonitis due to direct inhalation of industrial fluorocarbon used as a waterproofing spray for horse rugs. These cases differ from previous reports and show that chronic as well as acute alveolitis can result from fluorocarbon inhalation. Corticosteroid treatment may be beneficial. The need for stricter control in the workplace is emphasised.
Wallace
G M F
GM
Department of Respiratory Medicine, Ninewells Hospital, Dundee, Scotland, UK. gillianmfwallace@blueyonder.co.uk
Brown
P H
PH
D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D002908:Chronic Disease; D005260:Female; D005466:Fluorocarbons / Q000633:toxicity*; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D019570:Inhalation Exposure / Q000009:adverse effects; D008297:Male; D009784:Occupational Diseases / Q000139:chemically induced* / Q000188:drug therapy; D011014:Pneumonia / Q000139:chemically induced* / Q000188:drug therapy
D005466:Fluorocarbons; D005938:Glucocorticoids