Pulmonary hemorrhage due to inhalation of fumes or powders containing
trimellitic anhydride (TMA) is well known. We report pulmonary hemorrh
age in a young man exposed to epoxy resin vapor containing pyromelliti
c dianhydride (PMDA). Serum IgG antibodies to PMDA could be detected.
We conclude that the pulmonary hemorrhage was mediated by a reaction t
o PMDA in analogy to the TMA-induced disease. We suggest that exposure
to any acid anhydride should be considered a possible cause of pulmon
ary hemorrhage since these compounds share structural and functional s
imilarities.