Severe byssinosis with Cor pulmonale and pulmonary arterial hypertension-textile industry: A case report

A. Hemalatha , Gooty Shanaz , J.M. Bhavana , Mohammed Azhar Hussain , B.N. Raghavendra Prasad
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Abstract

Byssinosis is an occupational respiratory disease caused by prolonged exposure to cotton dust. It is a significant health concern in the textile industry, particularly in developing countries, and may lead to severe complications if undiagnosed and untreated. We report the case of a 47-year-old Indian male textile worker with advanced Byssinosis, presenting with progressive breathlessness, wheezing, and a two-year history of Cor-Pulmonale and Pulmonary Arterial Hypertension. Clinical findings included clubbing, bilateral pedal edema, and oxygen desaturation (75 %). Treatment involved oxygen therapy, bronchodilators, corticosteroids, and supportive care, with significant symptomatic improvement. This case discusses the severe consequences of chronic Byssinosis due to prolonged occupational exposure. It emphasizes the importance of early detection and preventive strategies, such as personal protective equipment and workplace safety regulations, to mitigate disease progression. Effective management of Byssinosis requires a multifaceted approach to occupational health. Strong preventive measures, early and accurate diagnosis, and evidence-based treatments are essential, particularly in the textile industry.
纺织工业重度肺心病合并肺动脉高压1例
螺旋体病是一种因长期接触棉尘而引起的职业性呼吸道疾病。这是纺织业的一个重大健康问题,特别是在发展中国家,如果不加以诊断和治疗,可能导致严重的并发症。我们报告一例47岁的印度男性纺织工人,患有晚期螺旋体病,表现为进行性呼吸困难,喘息,并有两年的肺心病和肺动脉高压病史。临床表现包括杵状变、双足水肿和氧饱和度降低(75% %)。治疗包括氧疗、支气管扩张剂、皮质类固醇和支持治疗,症状明显改善。本病例讨论了长期职业暴露导致的慢性螺旋体病的严重后果。它强调早期发现和预防战略的重要性,例如个人防护装备和工作场所安全条例,以减缓疾病进展。螺旋体病的有效管理需要对职业健康采取多方面的方法。强有力的预防措施、早期和准确的诊断以及循证治疗至关重要,特别是在纺织行业。
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