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A Study Regarding the Work Fitness of a Manufacturing Worker Suffering from a Stroke and Muscle Weakness
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Eun Kwang Ryu, Jae Seung Yong, Jung Won Kim
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Korean Journal of Occupational and Environmental Medicine 2012;24(3):294-303. Published online September 30, 2012
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DOI: https://doi.org/10.35371/kjoem.2012.24.3.294
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 Abstract
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- OBJECTIVES
Occupational health and safety guidelines have the goals of protecting workers, helping them to adapt to their working environment, and to promote their health and ability. In the work fitness evaluations done by occupational medicine doctors, one of their subjective duties is to assess a worker's working ability so as not to affect the health of the worker or his/her co-workers. A worker's functional capacity and reasonable accommodations should be considered. We studied a case regarding cerebral hemorrhage and muscle weakness after renal disease.
CASE
This patient was a male who worked at a tobacco company. He suffered from acute renal failure in 2003. In 2004, during his treatment, a convulsion-seizure occurred. This patient had non-specific findings in family history, blood studies, urinary analysis, mental status examination, and showed no signs of depression. There was a decrease in muscle power found during a physical examination. As a result, an occupational and environmental doctor and an industrial hygienist went to the worker's company in order to analyze the workers tasks. They concluded that there were some problems regarding the worker' s daily activities. When considering reasonable accommodation it was determined that such cases could work in the qualify control department instead of current job, assembly department.
CONCLUSIONS
Throughout this case, we considered the work compatibility of the various complications arising from a cerebral hemorrhage and convulsion-seizure disease which occurred to a factory worker who suffered from acute renal failure. We recommend it essential to create work compatibility guidelines regarding this case presentations, ensuring consistency to the efforts made by health care workers and physicians.
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An Occupational Erythema Multifome Case of a Worker Exposed to Dichlone and 3,3'-Dichlorobenzidine in a Dye Manufacturing Process
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Jae Seung Yong, Jung Won Kim, Eun A Kim
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Korean Journal of Occupational and Environmental Medicine 2012;24(3):311-318. Published online September 30, 2012
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DOI: https://doi.org/10.35371/kjoem.2012.24.3.311
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Abstract
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- BACKGROUND
In Korea, the only case of occupational erythema multiforme was found to be due to Bolivian rosewood, but there has been no case due to occupational chemicals in the manufacturing industry. Here, we report a case of erythema multiforme caused by dichlone and 3,3'-dichlorobenzidine(DCB) in a dye worker.
CASE
REPORT: We report a 43-year-old male worker manifesting erythema multiforme-like skin lesions during the DCB synthesis, The patient's dermatitis was relieved when he avoided the process, and it became aggravated when he restarted his work. Patch and prick tests confirmed positive irritant reactions to two chemicals.
CONCLUSION
This case was diagnosed as erythema multiforme based on clinical manifestations. Symptoms worsened upon exposure to chemicals while avoiding exposure improved symptoms. Skin test results showed that dichlone and 3,3'-dichlorobenzidine induced irritant reactions. We assume that erythema multiforme occurring in workers is an occupational skin disease likely caused by dichlone and 3,3'-dichlorobenzidine.
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KSOEM
