Urticaria‐like decompression illness in a caisson worker treated successfully in a monoplace chamber
Background Although decompression illness is rare for nondivers, it can happen in an environment involving rapid decompression. Recompression is the recommended treatment. We herein report a decompression illness case with cutis marmorata and osteonecrosis in both legs during pneumatic caisson work....
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2022-01-01
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| Series: | Acute Medicine & Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/ams2.808 |
| _version_ | 1797976176752328704 |
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| author | Komugi Okeya Shinya Suzuki Yasuaki Koyama Yoshiaki Inoue |
| author_facet | Komugi Okeya Shinya Suzuki Yasuaki Koyama Yoshiaki Inoue |
| author_sort | Komugi Okeya |
| collection | DOAJ |
| description | Background Although decompression illness is rare for nondivers, it can happen in an environment involving rapid decompression. Recompression is the recommended treatment. We herein report a decompression illness case with cutis marmorata and osteonecrosis in both legs during pneumatic caisson work. Case Presentation A 59‐year‐old compressed air worker suffered sudden dyspnea during pneumatic caisson work. He had rash on his trunk and limbs. He was diagnosed with decompression illness, and hyperbaric oxygen therapy was performed twice. He had no neurological dysfunction nor sequalae on discharge, but magnetic resonance imaging follow‐up revealed osteonecrosis in both legs. Conclusion A detailed medical history should be taken when treating patients with dyspnea at work. Cutis marmorata often precedes more severe symptoms. Early introduction of hyperbaric oxygen therapy is desirable. |
| first_indexed | 2024-04-11T04:47:12Z |
| format | Article |
| id | doaj.art-f099af5649ad48c9885df6c5349865c8 |
| institution | Directory Open Access Journal |
| issn | 2052-8817 |
| language | English |
| last_indexed | 2024-04-11T04:47:12Z |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Acute Medicine & Surgery |
| spelling | doaj.art-f099af5649ad48c9885df6c5349865c82022-12-27T12:22:49ZengWileyAcute Medicine & Surgery2052-88172022-01-0191n/an/a10.1002/ams2.808Urticaria‐like decompression illness in a caisson worker treated successfully in a monoplace chamberKomugi Okeya0Shinya Suzuki1Yasuaki Koyama2Yoshiaki Inoue3Department of Emergency & Critical Care Medicine University of Tsukuba Hospital Ibaraki JapanDepartment of Emergency Medicine Kameda Medical Center Kamogawa JapanDepartment of Emergency & Critical Care Medicine University of Tsukuba Hospital Ibaraki JapanDepartment of Emergency & Critical Care Medicine University of Tsukuba Hospital Ibaraki JapanBackground Although decompression illness is rare for nondivers, it can happen in an environment involving rapid decompression. Recompression is the recommended treatment. We herein report a decompression illness case with cutis marmorata and osteonecrosis in both legs during pneumatic caisson work. Case Presentation A 59‐year‐old compressed air worker suffered sudden dyspnea during pneumatic caisson work. He had rash on his trunk and limbs. He was diagnosed with decompression illness, and hyperbaric oxygen therapy was performed twice. He had no neurological dysfunction nor sequalae on discharge, but magnetic resonance imaging follow‐up revealed osteonecrosis in both legs. Conclusion A detailed medical history should be taken when treating patients with dyspnea at work. Cutis marmorata often precedes more severe symptoms. Early introduction of hyperbaric oxygen therapy is desirable.https://doi.org/10.1002/ams2.808Atmosphere exposure chamberscutis marmoratadecompression sicknesshyperbaric oxygen therapyosteonecrosis |
| spellingShingle | Komugi Okeya Shinya Suzuki Yasuaki Koyama Yoshiaki Inoue Urticaria‐like decompression illness in a caisson worker treated successfully in a monoplace chamber Acute Medicine & Surgery Atmosphere exposure chambers cutis marmorata decompression sickness hyperbaric oxygen therapy osteonecrosis |
| title | Urticaria‐like decompression illness in a caisson worker treated successfully in a monoplace chamber |
| title_full | Urticaria‐like decompression illness in a caisson worker treated successfully in a monoplace chamber |
| title_fullStr | Urticaria‐like decompression illness in a caisson worker treated successfully in a monoplace chamber |
| title_full_unstemmed | Urticaria‐like decompression illness in a caisson worker treated successfully in a monoplace chamber |
| title_short | Urticaria‐like decompression illness in a caisson worker treated successfully in a monoplace chamber |
| title_sort | urticaria like decompression illness in a caisson worker treated successfully in a monoplace chamber |
| topic | Atmosphere exposure chambers cutis marmorata decompression sickness hyperbaric oxygen therapy osteonecrosis |
| url | https://doi.org/10.1002/ams2.808 |
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