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A case of multiple myeloma in a poultry worker.

Jung PK, Kim I, Park I, Kim C, Kim EA, Roh J - Ann Occup Environ Med (2014)

Bottom Line: Livestock breeders including poultry workers are exposed to various agricultural chemicals including pesticides and/or organic solvents.A 61-year-old male poultry farm worker presented with bone pain and generalized weakness.The patient had worked in a poultry farm for 16 years and was exposed to various pesticides and organic solvents such as formaldehyde without any proper personal protective equipment.

View Article: PubMed Central - PubMed

Affiliation: Graduate School of Public Health, Yonsei University, Seoul, Korea ; The Institute for Occupational Health, Yonsei University College of Medicine, Seoul, Korea.

ABSTRACT

Background: Livestock breeders including poultry workers are exposed to various agricultural chemicals including pesticides and/or organic solvents. Multiple myeloma is a rare disease in Korea, and few reports have investigated the influence of occupational exposures on multiple myeloma occurrence.

Case presentation: A 61-year-old male poultry farm worker presented with bone pain and generalized weakness. A bone marrow biopsy was performed, and he was diagnosed with multiple myeloma. The patient had worked in a poultry farm for 16 years and was exposed to various pesticides and organic solvents such as formaldehyde without any proper personal protective equipment. Results of the work reenactment revealed that the concentration of formaldehyde (17.53 ppm) greatly exceeded the time-weighted average (0.5 ppm) and short-term exposure limit (1.0 ppm) suggested in the Korean Industrial Safety and Health Act.

Conclusions: This case report suggests that poultry workers may be exposed to high levels of various hazardous chemicals including pesticides and/or organic solvents. Numerous previous studies have suggested an association between multiple myeloma and exposure to agricultural chemicals; thus, multiple myeloma in this patient might have resulted from the prolonged, high exposure to these chemicals.

No MeSH data available.


Related in: MedlinePlus

Reenactment of the fumigation procedure for exposure measurement.
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Fig1: Reenactment of the fumigation procedure for exposure measurement.

Mentions: Reenactment of the fumigation tasks were performed in January 2013 using personal samplers to estimate the levels of exposure to formaldehyde and organic solvents including benzene, which is an impurity sometimes present in pesticides (Figure 1). Samples were collected over the course of one hour. Eight-hour time weighted average exposure concentrations and the short-term exposure limit were calculated. The concentration of formaldehyde and benzene were estimated using NIOSH 2016 [12] and the 1501 methods [13]. Samples were analyzed using high-performance liquid chromatography for formaldehyde and gas chromatography with a flame ionization detector for benzene.Figure 1


A case of multiple myeloma in a poultry worker.

Jung PK, Kim I, Park I, Kim C, Kim EA, Roh J - Ann Occup Environ Med (2014)

Reenactment of the fumigation procedure for exposure measurement.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4279810&req=5

Fig1: Reenactment of the fumigation procedure for exposure measurement.
Mentions: Reenactment of the fumigation tasks were performed in January 2013 using personal samplers to estimate the levels of exposure to formaldehyde and organic solvents including benzene, which is an impurity sometimes present in pesticides (Figure 1). Samples were collected over the course of one hour. Eight-hour time weighted average exposure concentrations and the short-term exposure limit were calculated. The concentration of formaldehyde and benzene were estimated using NIOSH 2016 [12] and the 1501 methods [13]. Samples were analyzed using high-performance liquid chromatography for formaldehyde and gas chromatography with a flame ionization detector for benzene.Figure 1

Bottom Line: Livestock breeders including poultry workers are exposed to various agricultural chemicals including pesticides and/or organic solvents.A 61-year-old male poultry farm worker presented with bone pain and generalized weakness.The patient had worked in a poultry farm for 16 years and was exposed to various pesticides and organic solvents such as formaldehyde without any proper personal protective equipment.

View Article: PubMed Central - PubMed

Affiliation: Graduate School of Public Health, Yonsei University, Seoul, Korea ; The Institute for Occupational Health, Yonsei University College of Medicine, Seoul, Korea.

ABSTRACT

Background: Livestock breeders including poultry workers are exposed to various agricultural chemicals including pesticides and/or organic solvents. Multiple myeloma is a rare disease in Korea, and few reports have investigated the influence of occupational exposures on multiple myeloma occurrence.

Case presentation: A 61-year-old male poultry farm worker presented with bone pain and generalized weakness. A bone marrow biopsy was performed, and he was diagnosed with multiple myeloma. The patient had worked in a poultry farm for 16 years and was exposed to various pesticides and organic solvents such as formaldehyde without any proper personal protective equipment. Results of the work reenactment revealed that the concentration of formaldehyde (17.53 ppm) greatly exceeded the time-weighted average (0.5 ppm) and short-term exposure limit (1.0 ppm) suggested in the Korean Industrial Safety and Health Act.

Conclusions: This case report suggests that poultry workers may be exposed to high levels of various hazardous chemicals including pesticides and/or organic solvents. Numerous previous studies have suggested an association between multiple myeloma and exposure to agricultural chemicals; thus, multiple myeloma in this patient might have resulted from the prolonged, high exposure to these chemicals.

No MeSH data available.


Related in: MedlinePlus