Abstract
The patient had partial improvement with this treatment. Because her clinical presentation does not match with either asthma or chronic obstructive pulmonary disease (COPD), she was admitted for a reassessment. In their report, the Centers for Disease Control and Prevention (CDC) confirmed that occupational exposure to diacetyl and a related compound, 2,3-pentanedione, can cause bronchiolitis obliterans and loss of lung function. The clinical significance is that workers exposed to diacetyl, which is a natural byproduct in coffee processing, develop this disease, and a clinical suspicion among coffee plant workers presenting with symptoms of obstructive airway disease will help in early diagnosis.
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Details
1 Department of Pulmonary Medicine, DM Wayanad Institute of Medical Sciences, Wayanad, Kerala