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  • TABLE 5  Examples of Industrial Toxicants that Produce Disease of the Respiratory Tract




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    TABLE 5 
    Examples of Industrial Toxicants that Produce Disease of the Respiratory Tract 
     Toxicant Site of Action
    Acute Effect
    Chronic Effect
    Ammonia Upper Airways Irritation, edema
    Bronchitis 
    Arsenic
    Upper Airways Bronchitis, irritation, pharyngitis
    Cancer, bronchitis, 
    laryngitis 
    Asbestos
    Lung 
    parenchyma
    --
    Fibrosis, cancer 
    Chlorine Upper airways
    Cough, irritation, asphyxiant (by muscle 
    cramps in larynx)
    -- 
    Isocyanate
    s
    Lower airways, 
    alveoli
    Bronchitis, pulmonary edema, asthma
    -- 
    Nickel 
    Carbony
    Alveoli
    Edema (delayed symptoms)
    -- 
    Ozone
    Bronchi, alveoli Irritation, edema, hemorrhage
    Emphysema, 
    bronchitis 
    Phosgene Alveoli
    Edema
    Bronchitis, fibrosis, 
    pneumonia 
    Toluene Upper airways Bronchitis, edema, bronchospasm
    -- 
    Xylene
    Lower airways Edema, hemorrhage
    -- 
     
    Skin. The skin is, in terms of weight, the largest single organ of the body. It provides a barrier 
    between the environment and other organs (except the lungs and eyes) and is a defense against 
    many chemicals.
    The skin consists of the epidermis (outer layer) and the dermis (inner layer). In the dermis are 
    sweat glands and ducts, sebaceous glands, connective tissue, fat, hair follicles, and blood vessels. 
    Hair follicles and sweat glands penetrate both the epidermis and dermis. Chemicals can penetrate 
    through the sweat glands, sebaceous glands, or hair follicles.
    Although the follicles and glands may permit a small amount of chemicals to enter almost 
    immediately, most pass through the epidermis, which constitutes the major surface area. The top 
    layer is the stratum corneum, a thin cohesive membrane of dead surface skin. This layer turns 
    over every 2 weeks by a complex process of cell dehydration and polymerization of intracellular 
    material. The epidermis plays the critical role in skin permeability. 
    Below the epidermis lies the dermis, a collection of cells providing a porous, watery, 
    nonselective diffusion medium. Intact skin has a number of functions:
    • Epidermis: Prevents absorption of chemicals and is a physical barrier to bacteria.
    • Sebaceous glands: Secrete fatty acids which are bacteriostatic and fungistatic.
    • Melanocytes (skin pigment): Prevent damage from ultraviolet radiation in sunlight.
    • Sweat glands: Regulate heat.


    (Created 12/02) 
    UNL Environmental Health and Safety · (402) 472-4925 · http://ehs.unl.edu 
    • Connective tissue: Provides elasticity against trauma.
    • Lymph-blood system: Provide immunologic responses to infection.
    The ability of skin to absorb foreign substances depends on the properties and health of the skin 
    and the chemical properties of the substances. Absorption is enhanced by:
    • Breaking top layer of skin by abrasions or cuts.
    • Increasing hydration of skin.
    • Increasing temperature of skin which causes sweat cells to open up and secrete sweat
    which can dissolve solids.
    • Increasing blood flow to skin.
    • Increasing concentrations of the substance.
    • Increasing contact time of the chemical on the skin.
    • Increasing the surface area of affected skin.
    • Altering the skin's normal pH of 5.
    • Decreasing particle size of substance.
    • Adding agents which will damage skin and render it more susceptible to penetration.
    • Adding surface-active agents or organic chemicals. DMSO, for example, can act as a 
    carrier of the substance.
    • Inducing ion movement by an electrical charge.
    Absorption of a toxic chemical through the skin can lead to local effects through direct contact, 
    such as irritation and necrosis, and systemic effects.
    Many chemicals can cause a reaction with the skin resulting in inflammation called dermatitis. 
    These chemicals are divided into three categories:
    Primary irritants: Act directly on normal skin at the site of contact (if chemical is in 
    sufficient quantity for a sufficient length of time). Skin irritants include: acetone, benzyl 
    chloride, carbon disulfide, chloroform, chromic acid and other soluble chromium 
    compounds, ethylene oxide, hydrogen chloride, iodine, methyl ethyl ketone, mercury, 
    phenol, phosgene, styrene, sulfur dioxide, picric acid, toluene, xylene.
    Photosensitizers: Increase in sensitivity to light, which results in irritation and redness. 
    Photosensitizers include: tetracyclines, acridine, creosote, pyridine, furfural, and naphtha.
    Allergic sensitizers: May produce allergic-type reaction after repeated exposures. They 
    include: formaldehyde, phthalic anhydride, ammonia, mercury, nitrobenzene, toluene 
    diisocyanate, chromic acid and chromates, cobalt, and benzoyl peroxide.

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    TABLE 5  Examples of Industrial Toxicants that Produce Disease of the Respiratory Tract

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