2021
DOI: 10.1097/md.0000000000025054
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Waterproofing spray-associated pneumonitis review

Abstract: Waterproofing spray-associated pneumonitis (WAP) proceeds to acute respiratory failure and is characterized by diffuse bilateral ground-glass opacities on computed tomography; however, the detailed characteristics of WAP are unknown. Therefore, this study identified the characteristics of WAP from comparisons with those of acute eosinophilic pneumonia (AEP) and hypersensitivity pneumonitis (HP), which show similar features to WAP. Adult patients with WAP, AEP, and HP treated in Fukujuji Hospital fro… Show more

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Cited by 3 publications
(4 citation statements)
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“…The inhalation of a waterproofing spray, especially a fluorinated compound resin used as a water repellent, causes ALI (2). In addition to the inhalation of a waterproofing spray, acute eosinophilic pneumonitis (AEP) and an exacerbation of chronic hypersensitivity pneumonitis (CHP) should also be considered in the differential diagnosis of early respiratory disorder following antigen inhalation (13). However, it is difficult to differentiate between these diseases based on the clinical findings.…”
Section: Discussionmentioning
confidence: 99%
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“…The inhalation of a waterproofing spray, especially a fluorinated compound resin used as a water repellent, causes ALI (2). In addition to the inhalation of a waterproofing spray, acute eosinophilic pneumonitis (AEP) and an exacerbation of chronic hypersensitivity pneumonitis (CHP) should also be considered in the differential diagnosis of early respiratory disorder following antigen inhalation (13). However, it is difficult to differentiate between these diseases based on the clinical findings.…”
Section: Discussionmentioning
confidence: 99%
“…The antigen inhalant associated with AEP and CHP is smoke and a repetitive specific antigen, respectively. Moreover, elevated eosinophils and lymphocytes in BALF are observed in patients with AEP and CHP, respectively (13). The BALF in ALI due to the inhalation of waterproofing spray are known to dominantly contain macrophages (13), but elevated neutrophils in the early phase after the inhalation of a waterproofing spray have also been reported (14).…”
Section: Discussionmentioning
confidence: 99%
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“…Symptoms often appear during or shortly after spray application. The symptoms resolve after a few days, but sometimes have long lasting effects on the lungs, usually when there is an underlying pathology of the lungs (e.g., [ 3 , 9 , 10 ]).…”
Section: Introductionmentioning
confidence: 99%