14の業種のカテゴリーにわけられた職業性過敏性肺臓炎/朝が起きれん

・職業性過敏性肺臓炎を業種ごとにわけた論文がありました

Occupational causes of hypersensitivity pneumonitis: a systematic review and compendium
    
N Kongsupon, G I Walters, S S Sadhra

Occupational Medicine, Volume 71, Issue 6-7, August-October 2021, Pages 255–259,

https://doi.org/10.1093/occmed/kqab082

Abstract

Background

Hypersensitivity pneumonitis (HP) is caused by a variety of antigens and low-molecular-weight chemicals, often through occupational exposure. Making a diagnosis of HP and identifying a cause are challenging. Cryptogenic cases are frequently reported, and missing or incomplete exposure histories can cause misclassification.

Aims

To provide an evidence-based compendium of sources of exposure and causes of HP for the clinician, through systematic review of medical literature.

Methods

Articles related to HP causative agents and occupational exposure were searched from the databases OVID Medline (1946 to October 2020) and EMBASE (1974 to October 2020). Abstracts and full texts of articles were screened by two reviewers. Data on causative antigens, occupational source of exposure and any associated eponymous name were extracted and grouped according to source of exposure.

Results

A total of 1790 articles were identified, from which 305 articles met the inclusion criteria. An additional 22 articles were identified from citation lists of the selected review articles. Sources of exposure identified for HP were sorted into 14 categories of work (agricultural, plant matter processing, wood, animal-related, foodstuff, food processing, metal processing, polymers, other manufacturing, chemicals, aerosolized water, service, waste and sewage and wind instruments).

Conclusions

This work is a comprehensive list of occupational causative agents and exposures causing HP. Cases are grouped by source of exposure, allowing an immediately accessible compendium of causes for use during occupational exposure assessment, which could also form the basis for a clinical questionnaire.

 

・上のTable1をみているだけで興味をそそられます。色んな病名がついているのが面白い（と言ったら患者さんには申し訳ないが）。表の最初の方にSpäetlase lung、最後の方にSax lung（多分遠い昔にご紹介したような気がします）なんかあったりして。時間があったら一つ一つの引用文献読んでみたいですね。

以下日記

・本日10/8（金）は６時３０分起床。朝勉せず出勤。ちょっと病棟よって午前外来。午後回診の合間に会議２つ。帰宅は１９時前でした。例によって猫たちに餌をやって入浴、夕食。録画の『激レアさんをつれてきた』をみておりました。出てきた二人は、１７年間貧乏を隠し続けたモデルさん、カツラをつけてボクシングの試合に出て試合中カツラがとれたボクサー。人生いろいろですね。それぞれのエピソードでそっと袖をぬらしてしまいました。

・で、ちょっと勉強してこのブログを書いております。これからちょっと昨日お示しした本の続きを読んで２２時には寝ます。明日は午前中ワクチン接種、午後はZOOMで医療従事者のための産業保健研究会に参加予定です。