Navigation Links
Iraq war service: A risk factor for bronchiolitis?

ATS 2008, TORONTOA large group of soldiers returning from Iraq have been diagnosed with bronchiolitis, a disease affecting the small airways of the lung, according to Vanderbilt University Medical Center physicians who will present their findings at the American Thoracic Societys 2008 International Conference in Toronto on Wednesday, May 21.

A total of 56 soldiers from Fort Campbell, Kentucky were evaluated for unexplained shortness of breath on exertion. Surgical lung biopsies were performed on 31 of the soldiers referred, with 29 having bronchiolitis. Most of those diagnosed with bronchiolitis had a prolonged exposure to sulfur dioxide from a sulfur mine fire near Mosul, Iraq in 2003, however, several had no known specific exposures.

The soldiers were initially evaluated with chest x-rays and computerized tomography, which were normal in almost every case. Likewise, pulmonary function tests were usually normal or near-normal. Thoracoscopic lung biopsies were required to conclusively establish the diagnosis of bronchiolitis in every case.

All of the soldiers evaluated were physically fit at the time of deployment. On return, none of those diagnosed with bronchiolitis met physical training standards. In almost every case they were declared unfit for duty and were medically boarded with a service connected disability, said principle investigator of the research, Robert Miller, M.D., assistant professor of pulmonary and critical care medicine at Vanderbilt University.

The U.S. Department of Defense believes that the Mosul sulfur fire was deliberately set and considers it a combat-related event. It was the largest ever man-made release of sulfur dioxide and was 100 times greater than the release from the Mount Saint Helens volcanic eruption. Air samples collected by the U.S. Army confirmed that sulfur dioxide levels in the area were at toxic levels, said Dr. Miller.

The researchers were not surprised that such a high sulfur dioxide exposure would lead to bronchiolitis, but believe that this may be the largest series to date examining the effects of such an exposure. Even more alarmingly, five out of 31 soldiers biopsied had toxic lung injury without exposure to the Mosul sulfur fire suggesting the presence of other inhalational toxins.

However, several soldiers were diagnosed with bronchiolitis and had no exposure history. We are concerned that there are may be many unidentified exposures putting soldiers at risk of developing bronchiolitis, said lead author Matthew King, M.D., pulmonary and critical care fellow at Vanderbilt University, who added that soldiers from Fort Campbell were not the only ones exposed to the Mosul sulfur. Other battalions were there as well.

Bronchiolitis is known to be associated with many conditions including organ transplantation, toxic inhalation, infection and rheumatoid arthritis. In most cases, it is a diagnosis based on clinical history, x-ray and pulmonary function testing. These findings suggest that there may be another risk factor: the Iraq war.

Bronchiolitis needs to be considered in Iraq war veterans presenting with unexplained shortness of breath on exertion, concluded Dr. King.


Contact: Keely Savoie
American Thoracic Society

Related medicine news :

1. Conventional prognostic factors fail to explain better prostate cancer survival in most Asian men
2. Study, meta-analysis examine factors associated with death from heatstroke
3. New Alzheimers findings: High stress and genetic risk factor lead to increased memory decline
4. Discovery suggests location of genes for breast density, a strong risk factor for breast cancer
5. PA Health Department Survey Shows Impact of Income, Gender, Other Factors on Health and Access to Health Care
6. Researchers genetically engineer micro-organisms into tiny factories
7. Study Downgrades Gene as Heart Risk Factor
8. Severe heart defect likely caused by genetic factors
9. A Chinese medicine compound has satisfactory anti-cancer effects on hepatocellular carcinoma
10. Aggressively Treating Cardiac Risk Factors May Reverse Ischemia
11. New peptide communication factor enabling bacteria to talk to each other discovered
Post Your Comments:
(Date:10/13/2017)... ... October 13, 2017 , ... Dickinson Insurance and ... and financial preparation services, is providing an update on a charitable event that ... City Rescue is a locally recognized nonprofit that provides shelter and care for ...
(Date:10/13/2017)... Vegas, Nevada (PRWEB) , ... October 13, 2017 , ... ... 7® Hemp CBD Oil utilizing Purzorb™ technology. Applying the Purzorb™process to full spectrum CBD ... dose required and providing a CBD form that can be easily incorporated into liquid ...
(Date:10/13/2017)... ... October 13, 2017 , ... The Visiting Nurse Association (VNA) ... a collection of specialty vendors and unique items from across the nation, this holiday-themed ... and wellness services offered by the VNA. The boutique will be open Saturday, ...
(Date:10/13/2017)... ... October 13, 2017 , ... Coveros, a leader in agile ... a contract by the Center for Medicare and Medicaid Services (CMS). The Enterprise ... use of Agile methodologies in a consistent and high value manner across CMS ...
(Date:10/12/2017)... Orleans, LA (PRWEB) , ... October 12, 2017 , ... ... centers in the U.S., announced today its plans to open a flagship location in ... will occupy the former Rooms To Go store next to Office Depot in the ...
Breaking Medicine News(10 mins):
(Date:9/27/2017)... their devotion to personalized service, SMP Pharmacy Solutions announces their ... South Florida Business Journal,s 50 Fastest-Growing Companies, and listed for ... specialty pharmacy has found its niche.  To that end, the ... by SFBJ as the 2017 Power Leader in Health Care. ... award in October, Bardisa said of the three achievements, "It,s ...
(Date:9/23/2017)... HORSHAM, Pa. , Sept. 22, 2017 ... received a complete response letter from the U.S. Food ... (BLA) seeking approval of sirukumab for the treatment of ... response letter indicates additional clinical data are needed to ... of moderately to severely active RA. ...
(Date:9/19/2017)... Ky. , Sept. 19, 2017   ZirMed Inc ... predictive analytics, today announced that it has been ranked #1 ... Black Book™ Rankings 2017 User Survey. ZirMed was ... solution for large hospitals and medical centers over 200 beds ... Black Book,s healthcare technology user survey history. ...
Breaking Medicine Technology: