Small airways disease in an Operation Desert Storm Deployer: Case report and review of the literature on respiratory health and inhalational exposures from Gulf War I

被引:12
作者
Weiler, Bethany A. [1 ]
Colby, Thomas V. [2 ]
Floreth, Timothy J. [3 ]
Hines, Stella E. [1 ,4 ]
机构
[1] Univ Maryland, Sch Med, Dept Med, Div Pulm & Crit Care Med, 11 S Paca St,Second Floor, Baltimore, MD 21201 USA
[2] Mayo Clin Arizona, Dept Pathol & Lab Med, Scottsdale, AZ USA
[3] Univ San Diego Hlth Syst, Div Pulm & Crit Care, Dept Med, La Jolla, CA USA
[4] Univ Maryland, Sch Med, Dept Med, Div Occupat & Environm Med, 11 S Paca St,Second Floor, Baltimore, MD 21201 USA
关键词
bronchiolitis; Gulf War I; military; Persian Gulf; respiratory; RESOLUTION COMPUTED-TOMOGRAPHY; OIL-WELL FIRES; BRONCHIOLITIS OBLITERANS; HOSPITALIZATION DATA; MEDICAL CONDITIONS; VETERANS; AFGHANISTAN; POPULATION; SYMPTOMS; IRAQ;
D O I
10.1002/ajim.22893
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Constrictive Bronchiolitis (CB) has been reported in US Operation Iraqi Freedom/Enduring Freedom (OIF/OEF) deployers but not in those from prior US conflicts. A 62-year old presented with progressive dyspnea 13 years after deployment to the Persian Gulf in 1991-1992, where he was exposed to burning oil well fire emissions, dust storms, and other potential airborne hazards. In 2014, after a chest computed tomography (CT) scan demonstrated diffuse mosaic attenuation, he underwent surgical lung biopsy, which revealed CB. Deployers from both GWI and OIF/OEF share many exposures. As respiratory symptoms are a feature associated with Gulf War medically unexplained illness, there may be a role for renewed interest in evaluating GWI Veterans with unexplained respiratory symptoms for conditions such as CB, which may result from exposures relevant to deployers from both conflicts.
引用
收藏
页码:793 / 801
页数:9
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