Estudio Epidemiológico para detectar alteraciones por exposición al cloruro de vinilo (CV).

Mercedes E. de la Sota, Osvaldo García Morteo, José Antonio Maldonado Cocco

Resumen


El cloruro de vinilo (CV) es un monómero de conocida acción patógena para el ser humano y puede causar una enfermedad con algunas características similares a la esclerodermia o esclerosis sistémica progresiva (ESP).

La ESP es un desorden generalizado del tejido conectivo; se caracteriza por cambios inflamatorios, fibróticos y degenerativos, acompañados de lesiones vasculares particularmente en la piel y en ciertos órganos internos. Esta enfermedad debe diferenciarse de una variedad de condiciones asociadas con similares cambios cutáneos, entre las que se encuentra la enfermedad por exposición al cloruro de vinilo (CV), incluida en el subgrupo de las llamadas "esclerodermia-like", inducidas por sustancias químicas. 

Con el desarrollo de la industria del plástico, fue descripta, en 1964, una enfermedad que se presentaba a algunos trabajadores durante la polimerización del CV, especialmente a los que limpiaban las autoclaves empleadas durante el proceso de producción del policloruro de vinilo (PCV).


Palabras clave


cloruro de vinilo; esclerodermia; exposición laboral

Texto completo:

16-20

Referencias


Veltman G, Lange CE et al. Clinical Manifestations and course of vinyl chloride disease. Am. N.Y. Academy Sc. 1975; 246:6-16.

Rocco Vito K and Hurd Eric R. Scleroderma and scleroderma-like Disorders. Semminars Arthritis and Rheumatism. 1986; 16: 22-69.

I.A.R.C. Internal Technical Report Nro. 75/001. Report of a working group on epidemiological studies on vinyl chloride exposed people. Lyon, 1975; 8-9.

The ARR Bureaun of explosives for additional assistance or information call. 1984; 835-950.

Lange CE, Jühre S et al. Further results in Polyvinyl-chloride Production workers. Am NY Academy Sc. 1975; 246:18-21.

Clifford Johnson. Clinical Management of Workers exposed to vinyl chloride and polyvinyl Chloride. Am NY Academy Sc. 1975; 246: 313-9.

Perkel G et al. Control and management. Surveillance of workers with history of exposure to vinyl chloride. Am NY Academy Sc. 1975; 246:311-2.

Suciu L, Prodan L et al. Clinical Manifestations in vinyl chloride poisoning. Am NY Academy Sc. 1975; 246:53-69.

Markowitz S, Mc Donald Ch. Occupational Acroosteolysis. Arch Delln. 1972; 106: 219-23.

Destouet J, Murphy WA. Acquired acroosteolysis and acronecrosis. A and Rheum. 1983; 26: 1151-4.

Gama C, Meira JBB. Occupational Acroosteolysis. J of Bone and joint Surg. 1978; 60: 86-90.

-Hiroyuki Sakabe. J. Bone lesions among polyvinyl chloride production workers in Japan. Am NY Academy Sc. 1975; 246:78-9.

Gay Bruce W, Lonneman WA. Measurements of vinyl Chloride from aersol sprays. Am NY Academy Sc. 1975; 246: 286-95.

Rowe VK. Experience in Industrial exposure Control. Am NY Academy Sc. 1975; 246: 306-10.

Garay ML, Greenberg RA, Tamburro CH. Use of Serum Bile Acids in the identification of vinyl chloride hepatotoxicity. Am J Med 1985; 78: 68-76.

Brasington R, Thorpe Swenson A. Systemic sclerosis associated with cutaneous exposure to solvent: case report and review of the literature. A and Rheum. 1991; 34: 631-3.

Black CM, Walker AE, Catoggio L, Welsh K et al. Genetic Susceptibility to Scleroderma. like syndrome induced by vinyl chloride. Lancet. 1983; 53-5.

Milford Ward A, Udnoon S, Watkins J, Walker A, Darke CS. Inmunological mechanisms in the pathogenesis of vinyl chloride disease. Br Med J. 1976; 1: 936-8.

Lilis R, Anderson H, Nicholson W, Daum S, Fischbein A. Prevalence of disease among Vinyl Chloride and Polyvinyl Chloride workers. 1975; 246: 22-41.

Doll Richard. Discussion paper. Part. IV. Control and management. Am NY Academy Sc, 1975; 246:320-1.

Schweitzer G. Environmental Concerns Beyond the Workplace. Am NY Academy Sc. 1975; 246:296-302.

Benjamin L. Van Duuren. On the possible mechanism of carcinogenic action of vinyl chloride. Am NY Academy Sc. 1975; 246: 258-67.

Gedigk R, Müller and Bechntelsheiner H. Morphology of liver damage among polyvinyl chloride production workers. A report on 51 cases. Am NY Academy Sc. 1975; 246: 278-85.

Thomas L. Pathology of angiosarcoma of the liver among vinyl chloride. Polyvinyl chloride workers. Am NY Academy Sc. 1975; 246: 268-77.

Mancuso TF. Comments for opening of Discussion on "neoplastic effects". Am NY Academy Sc. 1975; 246:251-7.

Creech John Jr, Makk L. Liver disease Among polyvinyl chloride production workers. Am NY Academy Sc. 1975; 246:88-94.

Bradford Block J. Angiosarcoma of the liver following vinyl chloride exposure. JAMA, 1974; 229: 53-4

Berk P, Martin J, Waggoner J. Persistence of vinyl chloride induced liver injury after cessation of exposure. Am NY Academy Sc. 1975; 246:70-7.

Maltoni C, Lefimine G. Carcinogenicity Bioassays of vinyl chloride. Current results. Am NY Academy Sc. 1975; 246: 195-218.

Wyatt R, Kotchen J, Donald L. An epidemiologic study of blood screening tests and illness histories among chemical workers involved in the manufacture of polyvinyl chloride. Am N.Y. Academy Sc. 1975; 246: 80-7.

Miller A, Teirstein AS, Ming Chuang. Changes in Pulmonary function in workers exposed to vinyl chloride and polyvinyl chloride. Am N.Y. Academy Sc. 1975; 246:42-52.

Threshold Limit values for chemical substances in the work environment adopted by ACGIH with intended changes for 1990-1991.


Enlaces refback



Copyright (c) 2019 Mercedes E. de la Sota, Osvaldo García Morteo, José Antonio Maldonado Cocco



Asociación Médica de Bahía Blanca - Castelli 213 - B8000AIE Bahía Blanca - Buenos Aires - Argentina - https://www.ambb.org.ar