트리클로로에틸렌의 직업적 노출에 의한 과민성 박탈 피부염 및 간염
A 20-year-old man was admitted to the hospital because of pruritus, pyrexia and maculopapular skin rash. Three weeks before admission, he engaged in silicon waterproofing work with trichloroethylene (TCE). The levels of liver enzymes increased and exfoliative dermatitis was developed on the trunk an...
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Veröffentlicht in: | Chʻŏnsik mit alrerugi 2009-06, Vol.29 (2), p.132 |
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creator | 하재화 Jae Hwa Ha 이철갑 Chul Gab Lee 윤성호 Sung Ho Yoon 이승일 Seung Il Lee 권용은 Yong Eun Kwon |
description | A 20-year-old man was admitted to the hospital because of pruritus, pyrexia and maculopapular skin rash. Three weeks before admission, he engaged in silicon waterproofing work with trichloroethylene (TCE). The levels of liver enzymes increased and exfoliative dermatitis was developed on the trunk and face. After treatment with systemic corticosteroids, antihistamine and liver supplements, liver function and skin lesions were improved remarkably. The levels of serum IgE increased and the pathological examination of skin specimen revealed T lymphocyte-mediated inflammatory reaction. Since other causes could not be found through the multiple allergen simultaneous test (MAST) and other allergy tests, we assumed that exfoliative dermatitis and hepatitis were caused by T lymphocyte hypersensitivity to TCE, which was confirmed by the patch test after his symptoms were improved. (Korean J Asthma Allergy Clin Immunol 2009;29:132-137) |
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Three weeks before admission, he engaged in silicon waterproofing work with trichloroethylene (TCE). The levels of liver enzymes increased and exfoliative dermatitis was developed on the trunk and face. After treatment with systemic corticosteroids, antihistamine and liver supplements, liver function and skin lesions were improved remarkably. The levels of serum IgE increased and the pathological examination of skin specimen revealed T lymphocyte-mediated inflammatory reaction. Since other causes could not be found through the multiple allergen simultaneous test (MAST) and other allergy tests, we assumed that exfoliative dermatitis and hepatitis were caused by T lymphocyte hypersensitivity to TCE, which was confirmed by the patch test after his symptoms were improved. 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Three weeks before admission, he engaged in silicon waterproofing work with trichloroethylene (TCE). The levels of liver enzymes increased and exfoliative dermatitis was developed on the trunk and face. After treatment with systemic corticosteroids, antihistamine and liver supplements, liver function and skin lesions were improved remarkably. The levels of serum IgE increased and the pathological examination of skin specimen revealed T lymphocyte-mediated inflammatory reaction. Since other causes could not be found through the multiple allergen simultaneous test (MAST) and other allergy tests, we assumed that exfoliative dermatitis and hepatitis were caused by T lymphocyte hypersensitivity to TCE, which was confirmed by the patch test after his symptoms were improved. 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Three weeks before admission, he engaged in silicon waterproofing work with trichloroethylene (TCE). The levels of liver enzymes increased and exfoliative dermatitis was developed on the trunk and face. After treatment with systemic corticosteroids, antihistamine and liver supplements, liver function and skin lesions were improved remarkably. The levels of serum IgE increased and the pathological examination of skin specimen revealed T lymphocyte-mediated inflammatory reaction. Since other causes could not be found through the multiple allergen simultaneous test (MAST) and other allergy tests, we assumed that exfoliative dermatitis and hepatitis were caused by T lymphocyte hypersensitivity to TCE, which was confirmed by the patch test after his symptoms were improved. (Korean J Asthma Allergy Clin Immunol 2009;29:132-137)</abstract><pub>대한천식알레르기학회</pub><tpages>6</tpages></addata></record> |
fulltext | fulltext |
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ispartof | Chʻŏnsik mit alrerugi, 2009-06, Vol.29 (2), p.132 |
issn | 1226-8739 |
language | kor |
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source | KoreaMed Open Access |
subjects | Delayed hypersensitivity Exfoliative dermatitis Hepatitis Occupational exposure Trichloroethylene |
title | 트리클로로에틸렌의 직업적 노출에 의한 과민성 박탈 피부염 및 간염 |
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