Citation

de la Hoz RE, Schlueter DP, Rom WN. Am. J. Ind. Med. 1996; 29(2): 209-214.

Affiliation

Department of Environmental Medicine, New York University School of Medicine, NY 10016, USA.

Copyright

(Copyright © 1996, John Wiley and Sons)

DOI

10.1002/(SICI)1097-0274(199602)29:2<209::AID-AJIM12>3.0.CO;2-7

PMID

8821365

Abstract

Inhalation of highly hydrosoluble toxicants, like ammonia, can be associated with chronic lung diseases, which have been partially characterized. We present the case of three patients who were evaluated 2 years after massive exposure to ammonia in occupational settings. They presented with chronic dyspnea, and clinical pictures consistent with restrictive lung dysfunction, obstructive lung disease, and bronchial hyper-reactivity and small airways disease, respectively. The findings in 94 reported cases of inhalation injury due to massive exposure to ammonia are reviewed; in 35 cases follow-up for at least 1 year was available. The range of chronic pulmonary diseases associated with ammonia inhalation injury is reviewed, and suggestions for appropriate diagnostic evaluation are made.

Language: en