Fiberglass Dermatitis: A Case Report

玻璃纖維皮膚炎一病例報告

張中興(Chung-Hsing Chang) ； 王清敏(Ching-Ming Wang) ； 何啟功(Chei-Kong Ho) ； 蘇旺林(Wang-Bin Su) ； 余幸司(Hsin-Su Yu)

《The Kaohsiung Journal of Medical Sciences》 12卷8期 (1996/08) Pp. 491-494

https://doi.org/10.6452/KJMS.199608.0491

摘要

玻璃纖維為一廣汎分佈之礦物纖維，因其具有多種用途，主要作為絕緣材質，已逐漸取代石綿纖維。玻璃纖維皮膚炎為由機械性刺激所引起的職業性皮膚炎中最常見的一種。我們報告一典型病例。一位30歲男性，最近換工作，負責玻璃纖維之切割磨碎並和樹脂混合用以做實驗桌的桌面。工作兩星期後出現全身搔癢，及手部、頸部、臉及前胸有紅色丘疹及毛囊炎，併有明顯的搔抓痕跡。以透明膠帶黏貼皮膚後在顯微鏡下觀察，可見許多透明針狀的玻璃纖維，直徑約在7~10毫米。進一步做工廠訪視發現其他工人也有類似症狀。玻璃纖維的製造、貯存、運送及清除等程序應有良竿的規範及個人應著保護衣物及妥善清潔，以減少玻璃纖維的釋出及曝露，方為防止此職業皮膚病的根本之道。

並列摘要

Glass fibers are the most widely distributed mineral fibers because of their multiple applications, chiefly as insulation materials, and have become important in replacing as-bestos fibers. Fiberglass dermatitis is one of the most common forms of occupational de-rmatitis resulting from mechanical irritation. Here we report a typical case. A 30-year-old male worker handled the cutting and grinding of fiberglass mats and then mixed them with resin as reinforcing materials. He complained of intense itching after the first two weeks of employment. Erythematous macules, papules and folliculitis with excori-ation developed over his arms, neck , face and upper chest. There were many transparent glassfiber spicules with the diameter around 7-10 μm detected by applying the adhesive tape against the skin lesion, followed by microscopic observation. He was much impro-ved during hospitalization with oral antihistamine and topical steroid ointment. To prev-ent this occupational disease, we suggest proper procedures of production, storage, transportation and cleaning in the industrial setting and proper protective clothing in personnel to minimize the release of and exposure to glass fibers.

並列關鍵字

fiberglass dermatitis