Work-related olfactory disorder : a case series and review :a case series and review

Soon Woo Park; Young Joong Kang; Huisu Eom; Hyun-Jin Cho; Jungho Ahn; Sang-Gil Lee

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자료유형: 학술저널

저자정보: Soon Woo Park (Korea Occupational Safety and Health Agency) Young Joong Kang (Korea Occupational Safety and Health Agency) Huisu Eom (Korea Occupational Safety and Health Agency) Hyun-Jin Cho (Gyeongsang National University Hospital) Jungho Ahn (Korea Occupational Safety and Health Agency) Sang-Gil Lee (Korea Occupational Safety and Health Agency)

저널정보: 대한직업환경의학회 대한직업환경의학회지 대한직업환경의학회지 제30권 제2호

발행연도: 2018.3

수록면: 67 - 74 (8page)

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Background: The olfactory bulb is anatomically exposed and thus can be directly damaged by external stimulation. This can occur as an occupational injury owing to contact with organic solvents or other causes. We present cases of eight patients who sustained occupation-related exposure to potentially toxic substances and later presented with signs and symptoms of anosmia. We examined the occupational and medical characteristics of the patients and evaluated their work-relatedness.
Case presentation: Case 1: A 50-year-old man performed high-frequency heat treatments for approximately 11 years. He experienced decreased senses for olfaction and taste during the later years culminating in the diagnosis of anosmia after 3 years (high work-relatedness). Case 2: A 54-year-old man whose work involved exposure to various organic solvents, such as spray painting and application of paint and thinners for approximately 4 years, was subsequently diagnosed with anosmia based on rhinorrhea, headache, and loss of olfaction (high work-relatedness). Case 3: A 44-year-old-man who performed spray painting for approximately 17 years developed anosmia (high work-relatedness). Case 4: A 44-year-old man was involved in ship engine cleaning once a month, for approximately 7 h per cleaning session; he was diagnosed with anosmia based on loss of olfaction (low workrelatedness). Case 5: A 41-year-old man worked in ship building block construction for approximately 13 years; anosmia diagnosis was based on loss of olfaction (low work-relatedness). Case 6: A 47-year-old woman performed product inspection and labeling at a plant manufacturing automobile parts; anosmia diagnosis was based on decreased olfaction and taste (low work-relatedness). Case 7: A 50-year-old woman performed epoxy coating in a plant manufacturing automobile parts; anosmia diagnosis was based on diminishing olfaction (low workrelatedness). Case 8: A 57-year-old woman performed cleaning of the area where mobile phone parts were manufactured; anosmia diagnosis was based on diminishing olfaction (low work-relatedness).
Conclusion: The study results confirmed work-relatedness when the subject was young, and the duration of exposure was long without any other cause of anosmia. Regarding compensation for occupational diseases, work-relatedness can be recognized as a relative concept.

#Olfactory disorder #Occupational disease #Anosmia #Work-relatedness

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