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British Journal of Industrial Medicine logoLink to British Journal of Industrial Medicine
. 1988 Nov;45(11):761–765. doi: 10.1136/oem.45.11.761

Occupational exposure to formaldehyde and histopathological changes in the nasal mucosa.

C Edling 1, H Hellquist 1, L Odkvist 1
PMCID: PMC1009694  PMID: 3203081

Abstract

To study the cytotoxic effect of formaldehyde on the human nasal mucosa 75 men with occupational exposure to formaldehyde or to formaldehyde and wood dust, were examined, looking particularly at early signs of irritative effects and histopathological changes in the nasal mucosa. All men underwent a medical examination and a nasal biopsy specimen was examined by a pathologist and graded from 0-8 according to the morphological changes. A high frequency of nasal symptoms, mostly a running nose and crusting, was related to exposure to formaldehyde. Only three men had a normal mucosa; the remainder had loss of cilia and goblet cell hyperplasia (11%) and squamous metaplasia (78%); in six cases (8%) there was a mild dysplasia. The histological grading showed a significantly higher score when compared with unexposed contents (2.9 v 1.8). There was no dose response relation, no malignancies, and no difference in the histological score between those exposed to formaldehyde or to formaldehyde and wood dust.

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Selected References

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  1. Acheson E. D., Barnes H. R., Gardner M. J., Osmond C., Pannett B., Taylor C. P. Formaldehyde in the British chemical industry. An occupational cohort study. Lancet. 1984 Mar 17;1(8377):611–616. doi: 10.1016/s0140-6736(84)91007-9. [DOI] [PubMed] [Google Scholar]
  2. Acheson E. D., Barnes H. R., Gardner M. J., Osmond C., Pannett B., Taylor C. P. Formaldehyde process workers and lung cancer. Lancet. 1984 May 12;1(8385):1066–1067. doi: 10.1016/s0140-6736(84)91466-1. [DOI] [PubMed] [Google Scholar]
  3. Albert R. E., Sellakumar A. R., Laskin S., Kuschner M., Nelson N., Snyder C. A. Gaseous formaldehyde and hydrogen chloride induction of nasal cancer in the rat. J Natl Cancer Inst. 1982 Apr;68(4):597–603. [PubMed] [Google Scholar]
  4. Auerbach C., Moutschen-Dahmen M., Moutschen J. Genetic and cytogenetical effects of formaldehyde and related compounds. Mutat Res. 1977;39(3-4):317–361. doi: 10.1016/0165-1110(77)90011-2. [DOI] [PubMed] [Google Scholar]
  5. Blair A., Stewart P. A., Hoover R. N., Fraumeni J. F., Jr, Walrath J., O'Berg M., Gaffey W. Cancers of the nasopharynx and oropharynx and formaldehyde exposure. J Natl Cancer Inst. 1987 Jan;78(1):191–193. doi: 10.1093/jnci/78.1.191. [DOI] [PubMed] [Google Scholar]
  6. Blair A., Stewart P., O'Berg M., Gaffey W., Walrath J., Ward J., Bales R., Kaplan S., Cubit D. Mortality among industrial workers exposed to formaldehyde. J Natl Cancer Inst. 1986 Jun;76(6):1071–1084. [PubMed] [Google Scholar]
  7. Boysen M., Solberg L. A., Torjussen W., Poppe S., Høgetveit A. C. Histological changes, rhinoscopical findings and nickel concentration in plasma and urine in retired nickel workers. Acta Otolaryngol. 1984 Jan-Feb;97(1-2):105–115. doi: 10.3109/00016488409130970. [DOI] [PubMed] [Google Scholar]
  8. Edling C., Hellquist H., Odkvist L. Occupational formaldehyde exposure and the nasal mucosa. Rhinology. 1987 Sep;25(3):181–187. [PubMed] [Google Scholar]
  9. Edling C., Odkvist L., Hellquist H. Formaldehyde and the nasal mucosa. Br J Ind Med. 1985 Aug;42(8):570–571. doi: 10.1136/oem.42.8.570. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Hansson H. A., Petruson B. Nasal mucosa changes after acute and long-term exposure to dicumylperoxide. An experimental study on animals. Acta Otolaryngol. 1986 Jan-Feb;101(1-2):102–113. doi: 10.3109/00016488609108612. [DOI] [PubMed] [Google Scholar]
  11. Harrington J. M., Oakes D. Mortality study of British pathologists 1974-80. Br J Ind Med. 1984 May;41(2):188–191. doi: 10.1136/oem.41.2.188. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Harrington J. M., Shannon H. S. Mortality study of pathologists and medical laboratory technicians. Br Med J. 1975 Nov 8;4(5992):329–332. doi: 10.1136/bmj.4.5992.329. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Hellquist H., Irander K., Edling C., Odkvist L. M. Nasal symptoms and histopathology in a group of spray-painters. Acta Otolaryngol. 1983 Nov-Dec;96(5-6):495–500. doi: 10.3109/00016488309132736. [DOI] [PubMed] [Google Scholar]
  14. Irander K., Hellquist H. B., Edling C., Odkvist L. M. Upper airway problems in industrial workers exposed to oil mist. Acta Otolaryngol. 1980 Nov-Dec;90(5-6):452–459. doi: 10.3109/00016488009131747. [DOI] [PubMed] [Google Scholar]
  15. Jensen O. M., Andersen S. K. Lung cancer risk from formaldehyde. Lancet. 1982 Apr 17;1(8277):913–913. doi: 10.1016/s0140-6736(82)92185-7. [DOI] [PubMed] [Google Scholar]
  16. Kerns W. D., Pavkov K. L., Donofrio D. J., Gralla E. J., Swenberg J. A. Carcinogenicity of formaldehyde in rats and mice after long-term inhalation exposure. Cancer Res. 1983 Sep;43(9):4382–4392. [PubMed] [Google Scholar]
  17. Levine R. J., Andjelkovich D. A., Shaw L. K. The mortality of Ontario undertakers and a review of formaldehyde-related mortality studies. J Occup Med. 1984 Oct;26(10):740–746. doi: 10.1097/00043764-198410000-00014. [DOI] [PubMed] [Google Scholar]
  18. Lewis B. B., Chestner S. B. Formaldehyde in dentistry: a review of mutagenic and carcinogenic potential. J Am Dent Assoc. 1981 Sep;103(3):429–434. doi: 10.14219/jada.archive.1981.0341. [DOI] [PubMed] [Google Scholar]
  19. Liebling T., Rosenman K. D., Pastides H., Griffith R. G., Lemeshow S. Cancer mortality among workers exposed to formaldehyde. Am J Ind Med. 1984;5(6):423–428. doi: 10.1002/ajim.4700050602. [DOI] [PubMed] [Google Scholar]
  20. Olsen J. H., Jensen S. P., Hink M., Faurbo K., Breum N. O., Jensen O. M. Occupational formaldehyde exposure and increased nasal cancer risk in man. Int J Cancer. 1984 Nov 15;34(5):639–644. doi: 10.1002/ijc.2910340509. [DOI] [PubMed] [Google Scholar]
  21. Partanen T., Kauppinen T., Nurminen M., Nickels J., Hernberg S., Hakulinen T., Pukkala E., Savonen E. Formaldehyde exposure and respiratory and related cancers. A case-referent study among Finnish woodworkers. Scand J Work Environ Health. 1985 Dec;11(6):409–415. doi: 10.5271/sjweh.2206. [DOI] [PubMed] [Google Scholar]
  22. Schreiber H., Bibbo M., Wied G. L., Saccomanno G., Nettesheim P. Bronchial metaplasia as a benign or premalignant lesion. I. Cytologic and ultrastructural discrimination between acute carcinogen effects and toxin-induced changes. Acta Cytol. 1979 Nov-Dec;23(6):496–503. [PubMed] [Google Scholar]
  23. Siegel D. M., Frankos V. H., Schneiderman M. A. Formaldehyde risk assessment for occupationally exposed workers. Regul Toxicol Pharmacol. 1983 Dec;3(4):355–371. doi: 10.1016/0273-2300(83)90006-5. [DOI] [PubMed] [Google Scholar]
  24. Stayner L., Smith A. B., Reeve G., Blade L., Elliott L., Keenlyside R., Halperin W. Proportionate mortality study of workers in the garment industry exposed to formaldehyde. Am J Ind Med. 1985;7(3):229–240. doi: 10.1002/ajim.4700070305. [DOI] [PubMed] [Google Scholar]
  25. Swenberg J. A., Kerns W. D., Mitchell R. I., Gralla E. J., Pavkov K. L. Induction of squamous cell carcinomas of the rat nasal cavity by inhalation exposure to formaldehyde vapor. Cancer Res. 1980 Sep;40(9):3398–3402. [PubMed] [Google Scholar]
  26. Temcharoen P., Thilly W. G. Toxic and mutagenic effects of formaldehyde in Salmonella typhimurium. Mutat Res. 1983 Feb;119(2):89–93. doi: 10.1016/0165-7992(83)90115-x. [DOI] [PubMed] [Google Scholar]
  27. Torjussen W., Solberg L. A., Høgetveit A. C. Histopathologic changes of nasal mucosa in nickel workers: a pilot study. Cancer. 1979 Sep;44(3):963–974. doi: 10.1002/1097-0142(197909)44:3<963::aid-cncr2820440326>3.0.co;2-h. [DOI] [PubMed] [Google Scholar]
  28. Walrath J., Fraumeni J. F., Jr Mortality patterns among embalmers. Int J Cancer. 1983 Apr 15;31(4):407–411. doi: 10.1002/ijc.2910310403. [DOI] [PubMed] [Google Scholar]

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