Formaldehyde is commonly accepted so be art allergen and irritant. How
ever, specifically diagnosed occupational respiratory diseases caused
by formaldehyde are relatively rare. Occupational laryngitis was diagn
osed in a 47-year-old dairy foreman. He had been exposed for 9 years t
o formaldehyde emitted from a milk-packing machine situated underneath
his office, His exposure level varied considerably. Under normal proc
ess conditions, the measured formaldehyde level was 0.03 mg/m(3). The
patient was examined by different specialists over 1 1/2 yeats. It was
concluded that that he had psychogenic dysphonia. However, a specific
laryngeal provocation test with formaldehyde carried out at the Finni
sh Institute of Occupational Health was positive, His laryngitis was s
o serious that he was pensioned. During the 3 years of follow-up his c
ondition gradually worsened. He now reacts especially to tobacco smoke
and other air impurities known to contain formaldehyde. (C) 1996 Wile
y-Liss, Inc.