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Clin Toxicol (Phila). 2015;53(8):823-6. doi: 10.3109/15563650.2015.1064939. Epub 2015 Jul 10.

Neurotoxicity associated with exposure to 1-bromopropane in golf-club cleansing workers.

Author information

1
Division of Clinical Toxicology and Occupational Medicine, Department of Medicine, Taipei Veterans General Hospital , Taipei , Taiwan.

Abstract

BACKGROUND:

1-Bromopropane (1-BP) is an alternative to ozone-depleting solvent that is used in degreasing, dry cleaning, spray adhesives, and aerosol solvents. Occupational exposure to 1-BP is associated with adverse peripheral sensory, motor, and central nervous system (CNS) effects. We report our Health Hazard and Medical Evaluation of 6 patients with neurotoxicity associated with occupational exposure to 1-BP. Case series and environmental evaluation. Six workers, 1 male and 5 female, were exposed to high ambient 1-BP concentrations while employed in a golf club cleaning factory. 1-BP was identified in the bulk solvent sample used by the workers and confirmed the workers' daily occupational exposure to 1-BP for 3-10 months. The major presenting symptoms were tingling pain, soreness in lower extremities, and paresthesia. N-acetyl-S-(n-propyl)-L-cysteine (AcPrCys), a 1-BP metabolite, was identified by LC/MS/MS in the urine (0.171-1.74 mg/g-Cr) of these workers 5-26 days following 1-BP exposure.

DISCUSSION AND CONCLUSION:

An occupational outbreak of 1-BP poisoning occurred as a result of recurrent power outages, condenser, and exhaust fans malfunction, and inadequate personal protection. Occupational exposure to 1-BP may result in peripheral neuropathy as well as adverse CNS effects. Urine AcPrCys may be a specific biomarker for 1-BP exposure.

KEYWORDS:

1-Bromopropane; Neurotoxicity; Occupational exposure; Solvent; n-acetyl-s-propylcysteine

PMID:
26161839
DOI:
10.3109/15563650.2015.1064939
[Indexed for MEDLINE]

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