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Occup Environ Med 61:461-463 doi:10.1136/oem.2002.005686
  • Short report

Cold blast furnace syndrome: a new source of toxic inhalation by nitrogen oxides

Table 1

Clinical findings on attendance at hospital

Patient characteristics 1 2 3
Smoker + + +
Past respiratory disease None None Asthma
Symptoms
Breathlessness + ++ ++
Chest tightness + ++ ++
Headache + + +
Haemoptysis _ + _
Rigors + + +
Nausea _ _ +
Wheeze _ _ _
Investigations
Temperature (°C) 38.9 38.4 38.7
Pulse (beats/minute) 140 110 100
% O2 saturation (on high flow oxygen) 91 94 92
MetHb% 0.6 0.5 0.9
Exhaled CO (parts per million) 1.4 1.6 1.2
White cell count 21.6 18.4 12.7
Liver function tests Normal Not done Increased γGT
FEV1 (l) (%pred) 3.89 (89) 1.51 (40) 2.25 (51)
FVC (l) (pred) 5.45 (105) 1.77 (39) 2.52 (48)
Chest x ray infiltrates + ++ ++

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