Grand Rounds in Environmental Medicine is a collection of 38 concise case studies of clinical presentations resulting from exposures to common environmental agents.
Preface
Howard Hu
Introduction: Environmental Medicine as an Emerging Discipline
Howard Hu and Alan Woolf
Diseases from Exposures to Metals
Cadmium Exposure and Nephropathy in a 28-Year-Old Female Metals Worker
Richard Wittman and Howard Hu
A Child with Chronic Manganese Exposure from Drinking Water
Alan Woolf, Robert Wright, Chitra Amarasiriwardena, and David Bellinger
The Pitfalls of Hair Analysis for Toxicants in Clinical Practice: Three Case Reports
Melissa Frisch and Brian S. Schwartz
Blood Lead Concentration after a Shotgun Accident
Lars Gerhardsson, Lars Dahlin, Richard Knebel, and Andrejs Schütz
Lead Poisoning from Homemade Wine: A Case Study
Sam Mangas, Renuka Visvanathan, and Mike van Alphen
Poorly Controlled Hypertension in a Painter with Chronic Lead Toxicity
Howard Hu
A Cluster of Pediatric Metallic Mercury Exposure Cases Treated with meso-2,3-Dimercaptosuccinic Acid (DMSA
Joel Forman, Jacqueline Moline, Elsa Cernichiari, Sammi Sayegh, J. Carlos Torres, Mary M. Landrigan, Jean Hudson, Harold N. Adel, and Philip J. Landrigan
Lead Poisoning from an Unexpected Source in a 4-Month-Old Infant
Michael Shannon
Diseases from Exposures to Chemical Aerosols, Bioaerosols, and Dusts
Cockatiel-Induced Hypersensitivity Pneumonitis
James D. McCluskey, Robert R. Haight, and Stuart M. Brooks
Occupational Asthma with Paroxysmal Atrial Fibrillation in a Diamond Polisher
Elizabeth Wilk-Rivard and Jaime Szeinuk
Hypersensitivity Pneumonitis from Ordinary Residential Exposures
Michael J. Apostolakos, Harold Rossmoore, and William S. Beckett
Bioaerosol Lung Damage in a Worker with Repeated Exposure to Fungi in a Water-Damaged Building
Douglas Trout, Jonathan Bernstein, Kenneth Martinez, Raymond Biagini, and Kenneth Wallingford
An Unusual Case of Mixed-Dust Exposure Involving a “Noncommercial” Asbestos
Ronald F. Dodson and Jeffrey L. Levin
Modeling of Exposure to Carpet-Cleaning Chemicals Preceding Irritant-Induced Asthma in One Patient
Richard M. Lynch
Infant Pulmonary Hemorrhage in a Suburban Home with Water Damage and Mold
(Stachybotrys atra)
Susan M. Flappan, Jay Portnoy, Patricia Jones, and Charles Barnes
Occupational Asthma and Contact Dermatitis in a Spray Painter after Introduction of an Aziridine Cross-Linker
Christopher T. Leffler and Donald K. Milton
Reactive Airways Dysfunction and Systemic Complaints after Mass Exposure to Bromine
Alan Woolf and Michael Shannon
A Retired Shipyard Worker with Rapidly Progressive Pulmonary Interstitial Fibrosis
Eileen V. Moy, Howard Hu, and David C. Christiani
Cockroach Allergy and Asthma in a 30-Year-Old Man
George T. O’Connor and Diane R. Gold
Diseases from Exposures to Solvents
Reduction of Sperm Motility in a Male Laboratory Worker Exposed To Solvents: A Case Study
Ho-Yuan Chang, Yung-Ming Lin, Ping-Chi Hsu, and Yueliang Leon Guo
Methylene Chloride Poisoning in a Cabinet Worker
Mohammad Mahmud and Stefanos N. Kales.
Chronic Toxic Encephalopathy in a Painter Exposed to Mixed Solvents
Robert G. Feldman, Marcia Hillary Ratner, and Thomas Ptak
Multiple System Atrophy Following Chronic Carbon Disulfide Exposure
Howard Frumkin
Environmentally Related Cancers
Lung Cancer in a Nonsmoking Underground Uranium Miner
Karen B. Mulloy, David S. James, Kim Mohs, and Mario Kornfeld
Government Laboratory Worker with Lung Cancer: Comparing Risks from Beryllium, Asbestos, and Tobacco Smoke
Craig Steinmaus and John R. Balmes
Liver Angiosarcoma and Hemangiopericytoma after Occupational Exposure to Vinyl Chloride Monomer
Izet Hozo, Dinko Miric´, Lovre Bojic´, Lovel Giunio, Ivo Lusšic´, Viktor Cšulic´, and Miroslav Sšimunic´
Arsenic-Related Bowen’s Disease, Palmar Keratosis, and Skin Cancer
Meltem Çöl, Cavit Çöl, Atilla Soran, Bekir S. Sayli, and Selma Öztürk
Other Environmental Exposures & Syndromes
MRI and Neuropsychological Correlates of Carbon Monoxide Exposure: A Case Report
Sherral A. Devine, Shalene M. Kirkley, Carole L. Palumbo, and Roberta F. White
Violence: An Unrecognized Environmental Exposure that May Contribute to Greater Asthma Morbidity in High Risk Inner-City Populations
Rosalind J. Wright and Suzanne F. Steinbach
Severe 2,3,7,8-Tetrachlorodibenzo-p-dioxin (TCDD) Intoxication: Clinical and Laboratory Effects
Alexandra Geusau, Klaus Abraham, Klaus Geissler, Michael O. Sator, Georg Stingl, and Erwin Tschachler
Possible Estuary-Associated Syndrome: Symptoms, Vision, and Treatment
Ritchie C. Shoemaker and H. Kenneth Hudnell
A 4-Year-Old Girl with Manifestations of Multiple Chemical Sensitivities
Alan Woolf
An Unusual Case of Organophosphate Intoxication of a Worker in a Plastic Bottle Recycling Plant: An Important Reminder
Chao-Ling Wang, Hung-Yi Chuang, Chen-Yang Chang, Shao-Tuan Liu, Ming-Tsang Wu, and Chi-Kung Ho
Blue Babies and Nitrate-Contaminated Well Water
Lynda Knobeloch, Barbara Salna, Adam Hogan, Jeffrey Postle, and Henry Anderson
A 37-Year-Old Mechanic with Multiple Chemical Sensitivities
Howard M. Kipen and Nancy Fiedler
Aplastic Anemia in a Petrochemical Factory Worker
Young Mann Baak, Byoung Yong Ahn, Hwang Shin Chang, Ji Hong Kim, Kyoung Ah Kim, and Young Lim
An Unusual Case of Carbon Monoxide Poisoning
Pierre L. Auger, Benoît Levesque, Richard Martel, Henri Prud’homme, David Bellemare, Claude Barbeau, Pierre Lachance, and Marc Rhainds
High Breast Milk Levels of Polychlorinated Biphenyls (PCBs) among Four Women Living Adjacent to a PCB-Contaminated Waste Site
Susan A. Korrick and Larisa Altshul
