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Am J Ind Med. 2016 Nov;59(11):1041-1045. doi: 10.1002/ajim.22628. Epub 2016 Jul 18.

Hypersensitivity pneumonitis in a beautician.

Author information

1
Department of Respiratory Diseases, University Hospital of Besançon, Besançon, France.
2
Department of Parasitology and Mycology, University Hospital of Besançon, Besançon, France.
3
UMR/CNRS 6249 Chrono-Environment, University Hospital of Besançon, Besançon, France.
4
Department of Physiology and Respiratory Investigation, University Hospital of Besançon, Besançon, France.
5
Department of Respiratory Diseases, University Hospital of Besançon, Besançon, France. jean-charles.dalphin@univ-fcomte.fr.
6
UMR/CNRS 6249 Chrono-Environment, University Hospital of Besançon, Besançon, France. jean-charles.dalphin@univ-fcomte.fr.

Abstract

A 52-year-old non-smoking beautician using a skincare device spraying steam and ozone (a "vapozone" facial steamer) was referred for progressive dyspnea and dry cough during working periods. Although spirometry was normal, she had decreased diffusing capacity of the lung for carbon monoxide, bronchiolitis with air trapping on high-resolution CT scan and 60% lymphocytosis by bronchoalveolar lavage. Twenty-six antigens were tested and serum-specific precipitins were found mainly against Pseudomonas sp. and Mycobacterium mucogenicum. Cultures from her skincare device isolated Pseudomonas sp. Outcome was favorable with cessation of occupational exposure to the device, without any medication. This is the first report of a case of HP in a beautician due to steam contaminated by Pseudomonas sp. from a vapozone. HP, and not only asthma and contact dermatitis, should be suspected in beauticians with respiratory symptoms. Am. J. Ind. Med. 59:1041-1045, 2016.

KEYWORDS:

beautician; hypersensitivity pneumonitis; pseudomonas sp

PMID:
27427424
DOI:
10.1002/ajim.22628
[Indexed for MEDLINE]

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