First Reported Case of Reactive Airway Dysfunction Syndrome in a Laborer Due to Porcelain Tile Dust
First Reported Case of Reactive Airway Dysfunction Syndrome in a Laborer Due to Porcelain Tile Dust
Blog Article
Reactive airway dysfunction syndrome (RADS) is a type of non-immunologically mediated asthma-like disease.It usually occurs after a massive exposure to an irritating substance in the atmosphere in the form of smoke, fumes, gases, and vapor.Unlike bronchial asthma, there is no latency to the symptoms seen in RADS.
A number of agents are known to cause RADS, but tile dust, as an etiological agent, has not been previously reported.We report a 45-year-old male laborer, who presented with Luminaire an acute onset of cough, chest tightness, breathlessness, and audible wheeze after his first time exposure to porcelain tile dust within 5 hours of exposure.Lab tests, including, chest X-ray, electrocardiogram, air blood gas analysis, and serum IgE, were unremarkable.
Spirometry showed a mild obstruction [forced expiratory volume in 1 second (FEV1)=72% of predicted], while the Bath Towel bronchodilator reversibility test was significant(14% increase in FEV1 above the baseline).Bronchial biopsy revealed a chronic inflammatory reaction with lymphocytic and plasma cell infiltration and more importantly a striking absence of eosinophils.To the best of our knowledge, this is the first reported case of RADS as a result of exposure to tile dust (porcelain ceramics).