Journal
INDUSTRIAL HEALTH
Volume 53, Issue 2, Pages 178-183Publisher
NATL INST OCCUPATIONAL SAFETY & HEALTH, JAPAN
DOI: 10.2486/indhealth.2013-0032
Keywords
Silica; Accelerated silicosis; Alveolar proteinosis; Silicoproteinosis; Sandblaster; Neuron-specific enolase (NSE); Lung transplantation; Whole lung lavage
Funding
- Czech Ministry of Health [IGA MZ CR NT11117, IGA LF_UP 2014_020]
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Sandblasting is traditionally known as a high-risk profession for potential development of lung silicosis. Reported is a case of a sandblaster with confirmed accelerated silicosis, a condition rather rarely diagnosed in the Czech Republic. Initially, the patient presented with progressive dry cough and exertional dyspnoea. In the early diagnostic process, a possible occupational aetiology was considered given his occupational history and known high-risk exposure to respirable silica particles confirmed by industrial hygiene assessment at the patient's workplace. The condition was confirmed by clinical, histological and autopsy findings. The patient died during lung transplantation, less than five years from diagnosis.
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