Hot tub lung
(Table 1), which is caused by nontuberculous mycobacteria, (17) has biopsy findings essentially identical to those seen in HP.
Hot tub lung
is believed to be a hypersensitivity pneumonitis caused by exposure to aerosolized Mycobacterium avium complex (MAC) and other nontuberculous mycobacteria (NTM) predisposed to grow in indoor hot tubs, enclosed swimming pools, spas, and therapy pools.
DATA SOURCES AND EXTRACTION: We retrospectively reviewed all cases (n = 4) of presumptively diagnosed hot tub lung
in immunocompetent individuals at the various physician practices in Springfield, Illinois, during 2001-2005.
(7) Some authors suggest that hot tub lung
is a spectrum of disease with components of both hypersensitivity pneumonitis and infection.
In one clinical trial conducted by Klearsen, a patient who suffered from hot tub lung
for 12 years achieved results within the first three weeks of the therapy.
Poorly formed granulomas Located in the interstitium, not airways, except in hot tub lung
. Isolated giant cells, loose congregation of histiocytes.
In hot tub lung
, pulmonary function tests were mainly restrictive with occasional obstruction (Anonymous 2000; Kahana and Kay 1997; Khoor et al.
The differential diagnosis includes infection, hypersensitivity pneumonitis, hot tub lung
, and chronic beryllium disease (Figure 5, A through F).
The risks associated with a fully enclosed spa room are low, but responsible retailers should discuss hot tub lung
with clients when addressing design considerations for the structure, and cover proper cleaning and maintenance of the spa itself.
She points out that "having these problems doesn't mean the hot tub will automatically cause hot tub lung
." Rose is a pulmonary and occupational medicine physician at Denver's National Jewish Medical and Research Center and is involved in clinical research on hot tub lung
NSPI research on ventilation began before the Belgian chlorine study, noted DiGiovanni: "We were in this process of researching already because of the recent hot tub lung
Hypersensitivity pneumonitis, or "hot tub lung
," as it is more commonly called, has been brought to the public's attention thanks to an article in the Wall Street Journal that was picked up by many other newspapers.