Skip to main content
The BMJ logoLink to The BMJ
. 1990 Nov 3;301(6759):1015–1017. doi: 10.1136/bmj.301.6759.1015

What causes cryptogenic fibrosing alveolitis? A case-control study of environmental exposure to dust.

J Scott 1, I Johnston 1, J Britton 1
PMCID: PMC1664043  PMID: 2249047

Abstract

OBJECTIVE--To investigate the role of occupational and domestic exposure to dust in the aetiology of cryptogenic fibrosing alveolitis. DESIGN--Matched case-control study. SUBJECTS--40 Patients with cryptogenic fibrosing alveolitis and 106 community controls matched for age and sex who responded to a questionnaire. MAIN OUTCOME MEASURE--Responses to self administered questionnaire asking about lifetime exposure to dust, animals, and smoke at home and at work. RESULTS--The patients with cryptogenic fibrosing alveolitis were more likely to report occupational exposure to metal dust (matched odds ratio 10.97 (95% confidence interval 2.30 to 52.4), p less than 0.001) or wood dust (2.94 (0.87 to 9.90), p = 0.08), to have worked with cattle (10.89 (1.24 to 96.0), p = 0.01), and to have lived in a house heated by a wood fire (12.55 (1.04 to 114), p = 0.009). A history of smoking and social class based on occupation were not significantly related to disease state. CONCLUSION--Environmental exposure to dust may be an important factor in the aetiology of cryptogenic fibrosing alveolitis.

Full text

PDF
1015

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Chetty A., Bhuyan U. N., Mitra D. K., Roy S., Deorari A. Cryptogenic fibrosing alveolitis in children. Ann Allergy. 1987 May;58(5):336–340. [PubMed] [Google Scholar]
  2. Crystal R. G., Bitterman P. B., Rennard S. I., Hance A. J., Keogh B. A. Interstitial lung diseases of unknown cause. Disorders characterized by chronic inflammation of the lower respiratory tract (first of two parts). N Engl J Med. 1984 Jan 19;310(3):154–166. doi: 10.1056/NEJM198401193100304. [DOI] [PubMed] [Google Scholar]
  3. Crystal R. G., Fulmer J. D., Roberts W. C., Moss M. L., Line B. R., Reynolds H. Y. Idiopathic pulmonary fibrosis. Clinical, histologic, radiographic, physiologic, scintigraphic, cytologic, and biochemical aspects. Ann Intern Med. 1976 Dec;85(6):769–788. doi: 10.7326/0003-4819-85-6-769. [DOI] [PubMed] [Google Scholar]
  4. Depierre A., Dalphin J. C., Pernet D., Dubiez A., Faucompré C., Breton J. L. Epidemiological study of farmer's lung in five districts of the French Doubs province. Thorax. 1988 Jun;43(6):429–435. doi: 10.1136/thx.43.6.429. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Johnston I., Britton J., Kinnear W., Logan R. Rising mortality from cryptogenic fibrosing alveolitis. BMJ. 1990 Nov 3;301(6759):1017–1021. doi: 10.1136/bmj.301.6759.1017. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Kaelin R. M., Kapanci Y., Tschopp J. M. Diffuse interstitial lung disease associated with hydrogen peroxide inhalation in a dairy worker. Am Rev Respir Dis. 1988 May;137(5):1233–1235. doi: 10.1164/ajrccm/137.5.1233. [DOI] [PubMed] [Google Scholar]
  7. LIEBOW A. A., STEER A., BILLINGSLEY J. G. DESQUAMATIVE INTERSTITIAL PNEUMONIA. Am J Med. 1965 Sep;39:369–404. doi: 10.1016/0002-9343(65)90206-8. [DOI] [PubMed] [Google Scholar]
  8. Ramage J. E., Jr, Roggli V. L., Bell D. Y., Piantadosi C. A. Interstitial lung disease and domestic wood burning. Am Rev Respir Dis. 1988 May;137(5):1229–1232. doi: 10.1164/ajrccm/137.5.1229. [DOI] [PubMed] [Google Scholar]
  9. Robinson B. W., Rose A. H. Pulmonary gamma interferon production in patients with fibrosing alveolitis. Thorax. 1990 Feb;45(2):105–108. doi: 10.1136/thx.45.2.105. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Stack B. H., Choo-Kang Y. F., Heard B. E. The prognosis of cryptogenic fibrosing alveolitis. Thorax. 1972 Sep;27(5):535–542. doi: 10.1136/thx.27.5.535. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Turner-Warwick M., Burrows B., Johnson A. Cryptogenic fibrosing alveolitis: clinical features and their influence on survival. Thorax. 1980 Mar;35(3):171–180. doi: 10.1136/thx.35.3.171. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Valeyre D., Soler P., Clerici C., Pré J., Battesti J. P., Georges R., Hance A. J. Smoking and pulmonary sarcoidosis: effect of cigarette smoking on prevalence, clinical manifestations, alveolitis, and evolution of the disease. Thorax. 1988 Jul;43(7):516–524. doi: 10.1136/thx.43.7.516. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from BMJ : British Medical Journal are provided here courtesy of BMJ Publishing Group

RESOURCES