Gepubliceerd op: 15-05-2009
Citeer dit artikel als:
 Ned Tijdschr Geneeskd. 2009;153:B312
Klinische les

Louis Verschoor

en

Atie H. Verschoor

Work-related health complaints occur frequently. Occupational health departments and primary and secondary care physicians are confronted with these patients. Awareness of work-related disease is crucial. Three case histories with work-related diseases are described. The first concerned a 39-year-old woman who showed acute neurotoxicity due to inhalation of formaldehyde and methanol after opening a coffin with an embalmed corpse. Within weeks the symptoms diminished and complete recovery occurred within nine months. The second was a 61-year-old carpenter who experienced acute and chronic pulmonary and neurotoxic effects after exposure to organic solvents during ground and carpenter’s work on a terrain of a former gas plant. He developed severe chronic toxic encephalopathy. The last patient was a 61-year-old man who developed acute and chronic manganese toxicity leading to inability to work while employed at a brick factory where manganese was used to colour the bricks. The acute effects subsided, but chronic neuropsychological symptoms remained.

Reactie toevoegen

Reacties

Ziek door blootstelling aan toxische stoffen op het werk

Interessant dat primair progressieve afasie een psychiatrische diagnose wordt genoemd. Het is juist typisch een diagnose die wordt gesteld door neurologen op een dementie-geheugenpolikliniek. Deze is in de loop van de ziekte duidelijk te objectiveren met forse atrofie links temporaal op de MRI. Het ziektebeeld is zeldzaam, maar het is zeker geen puur psychiatrische diagnose.

HagaZiekenhuis, Den Haag

J.A.F. Coebergh, arts in opleiding tot neuroloog