Progressive plasterer’s pneumoconiosis complicated by fibrotic interstitial pneumonia: a case report

BMC Pulmonary Medicine

Tamiko Takemura¹  Toshio Numao²  Masashi Bando³  Fumio Kurosaki³  Koichi Hagiwara³  Tomonori Kuroki³  Hiroshi Moriyama⁴ 

[1] Department of Pathology, Japanese Red Cross Medical Center;Department of Pulmonary Medicine, National Hospital Organization Utsunomiya National Hospital;Division of Pulmonary Medicine, Department of Medicine, Jichi Medical University;Division of Respiratory Medicine, Graduate School of Medical and Dental Sciences, Niigata University;

关键词: Plasterer;    Pneumoconiosis;    Usual interstitial pneumonia;    Elemental analysis;   

DOI  :  10.1186/s12890-018-0776-4

来源: DOAJ

【 摘 要 】

Abstract Background Although the prevalence of pneumoconiosis has been decreasing due to improvements in working conditions and regular health examinations, occupational hygiene measures are still being established. Plasterers encounter a number of hazardous materials that may be inhaled in the absence of sufficient protection. Case presentation A 64-year-old man who plastered without any dust protection for more than 40 years was referred to our hospital with suspected interstitial pneumonia. Mixed dust pneumoconiosis and an unusual interstitial pneumonia (UIP) pattern with fibroblastic foci were diagnosed by video-assisted thoracoscopic surgery, and an elemental analysis detected elements included in plaster work materials. Despite the cessation of plaster work and administration of nintedanib, the patient developed advanced respiratory failure. Conclusion Plasterers are at an increased risk of pneumoconiosis and may have a poor prognosis when complicated by the UIP pattern. Thorough dust protection and careful monitoring are needed.

【 授权许可】

Unknown