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HYPERSENSITIVE PNEUMONITIS AS A PROBLEM OF OCCUPATIONAL PATHOLOGY OF ALLERGIC ORIGIN (A CLINICAL CASE)

HYPERSENSITIVE PNEUMONITIS AS A PROBLEM OF OCCUPATIONAL PATHOLOGY OF ALLERGIC ORIGIN (A CLINICAL CASE)

ISSN 2223-6775 Ukrainian journal of occupational health Vol.15, No 1, 2019

https://doi.org/10.33573/ujoh2019.01.067

Basanets A.V., Ostapenko T.A., Yermakova O.V.

HYPERSENSITIVE PNEUMONITIS AS A PROBLEM OF OCCUPATIONAL PATHOLOGY OF ALLERGIC ORIGIN (A CLINICAL CASE)

State Institution "Kundiiev Institute of Occupational Health of the National Academy of Medical Sciences of Ukraine ", Kiev

Full article (PDF), UKR

Introduction. Hypersensitive pneumonitis is a rare occupational disease. In the modern structure of occupational diseases, both in Ukraine and in the world, the disease is recorded in isolated cases. In the pathogenesis of hypersensitive pneumonitis, the main mechanism is immunologically induced inflammation of the pulmonary parenchyma.

The purpose of the study - is to analyze the role of hypersensitive pneumonitis in the structure of occupational diseases in Ukraine and in the world; to present a clinical case of occupational hypersensitive pneumonitis, diagnosed at the Clinic of occupational diseases of the State Institution “Kundiiev Institute of Occupational Health of the National Academy of Medical Sciences of Ukraine”.

Materials and research methods. The examined patient J., 49 years old, worked for 10 years as a poultry-women in the mechanized farms of broiler production under exposure to fluff dust concentrations of 0,68 – 0,75 mg/m3 with MPC 2,0 mg/m3; ammonia 18,7 - 18, 9 mg/m3 with MPC of 20,0 mg/m3; hydrogen sulfide 6,5 mg/m3 with MPC of 10,0 mg/m3, for more than 80% of the working time. Diagnosed: Hypersensitive pneumonitis, chronic type, pulmonary insufficiency (PI) of the II degree. The diagnosis is confirmed by the data of the physical examination, by the results of clinical and laboratory studies and the data on working conditions.

Conclusions. The most important task of occupational health is prevention of occupational and work-related diseases. Prophylactic examinations play an important role in identifying occupational diseases at early stages. The timely appointment of effective therapy prevents the progression of the disease, development of complications, allowing to keep working and high quality of life in workers.

Keywords: hypersensitive pneumonitis, organic dust, allergic factor, prevention.

References

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ORCID ID of co-authors and their contribution to preparation and writing of the article:

Basanets A.V. (ORCID ID 0000-0001-8236-4251) – idea of the investigation, analysis of certain principles, conclusions.

Ostapenko T.A. (ORCID ID 0000-0002-3728-6861) – conduction of functional studies, analysis of the obtained data.

Yermakova O.V. (ORCID ID 0000-0001-7622-3639) – analysis of the obtained data, writing of the article.