Pulmonary granulomatosis associated with excessive use of cosmetic sprays.

TL;DRAbstract

LITTLE REFERENCE has been made in the medical literature to the possibility that pulmonary granulomatosis may be associated with the use of cosmetic or astringent sprays on the hair or body. In March of 1958, Bergmann and coworkers,1 reporting on observations in two patients, suggested that hair sprays are not altogether harmless. Both of the patients were women in their twenties. One of them had been using various hair sprays for about two years, the last six months of which she had been in the habit of spraying her hair twice daily. The second patient had been using hair spray daily for three years. In both cases x-ray films showed extensive and widespread infiltrative changes, and there were surprisingly few associated respiratory signs or symptoms in either patient. In both instances the roentgenographically visible lesions disappeared spontaneously about three months after discontinuation of the use of hair spray. In one patient, the microscopic finding of paraaminosalicylic acid-

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