PDF(Pubmed)
Abstract：
BACKGROUND: Zinc fever is well described in medical literature, particularly in workers after handling zinc-containing materials at high temperatures e.g., in the welding of hot-dip galvanized steel sheets. It is not known whether zinc fever also occurs at low temperatures.
METHODS: We present the case of a 33-year-old Caucasian atopic painter and varnisher with work-related dyspnea, sweating, as well as multiple occurrences of fever. He was sent to Institute for Prevention and Occupational medicine of the German Social Accident Insurance, Institute of the Ruhr-Universität Bochum (IPA) for the evaluation of isocyanate asthma, but an inhalative challenge with hexamethylene diisocyanate was negative. Since symptoms were closely related to the use of zinc coatings at room temperature without adequate protective measures, the diagnosis of zinc fever was made. After exposure cessation the worker immediately became symptom-free. The work as painter and varnisher may be associated with various exposures to hazardous substances. Besides solvents, epoxy compounds and isocyanates, which can cause obstructive respiratory diseases; additionally, zinc-containing agents should be considered as health hazards.
CONCLUSIONS: This case demonstrates that zinc fever may occur also after application of zinc coatings by spray painting at low temperatures.
METHODS: We present the case of a 33-year-old Caucasian atopic painter and varnisher with work-related dyspnea, sweating, as well as multiple occurrences of fever. He was sent to Institute for Prevention and Occupational medicine of the German Social Accident Insurance, Institute of the Ruhr-Universität Bochum (IPA) for the evaluation of isocyanate asthma, but an inhalative challenge with hexamethylene diisocyanate was negative. Since symptoms were closely related to the use of zinc coatings at room temperature without adequate protective measures, the diagnosis of zinc fever was made. After exposure cessation the worker immediately became symptom-free. The work as painter and varnisher may be associated with various exposures to hazardous substances. Besides solvents, epoxy compounds and isocyanates, which can cause obstructive respiratory diseases; additionally, zinc-containing agents should be considered as health hazards.
CONCLUSIONS: This case demonstrates that zinc fever may occur also after application of zinc coatings by spray painting at low temperatures.
摘要：
背景：锌热在医学文献中有很好的描述，特别是在高温下处理含锌材料后的工人，例如在热镀锌钢板的焊接。不知道锌热是否也在低温下发生。
方法：我们介绍了一个33岁的白种人特应性画家和清漆师患有与工作相关的呼吸困难的病例，出汗,以及多次发烧。他被送到德国社会意外保险预防和职业医学研究所，鲁尔-波鸿大学研究所（IPA）用于评估异氰酸酯哮喘，但六亚甲基二异氰酸酯的吸入挑战是负面的。由于症状与在室温下使用锌涂层密切相关，没有足够的保护措施，诊断为锌热。停止接触后，工人立即无症状。作为画家和清漆师的工作可能与各种有害物质的暴露有关。除了溶剂,环氧化合物和异氰酸酯，这可能导致阻塞性呼吸系统疾病;此外，含锌剂应被视为健康危害。
结论：该案例表明，在低温下通过喷漆施加锌涂层后，也可能发生锌热。
方法：我们介绍了一个33岁的白种人特应性画家和清漆师患有与工作相关的呼吸困难的病例，出汗,以及多次发烧。他被送到德国社会意外保险预防和职业医学研究所，鲁尔-波鸿大学研究所（IPA）用于评估异氰酸酯哮喘，但六亚甲基二异氰酸酯的吸入挑战是负面的。由于症状与在室温下使用锌涂层密切相关，没有足够的保护措施，诊断为锌热。停止接触后，工人立即无症状。作为画家和清漆师的工作可能与各种有害物质的暴露有关。除了溶剂,环氧化合物和异氰酸酯，这可能导致阻塞性呼吸系统疾病;此外，含锌剂应被视为健康危害。
结论：该案例表明，在低温下通过喷漆施加锌涂层后，也可能发生锌热。
