The Indian Journal of Chest Diseases and Allied Sciences

Register      Login

VOLUME 55 , ISSUE 1 ( January-March, 2013 ) > List of Articles

REVIEW ARTICLE

Pneumoconioses

Vinaya S. Karkhanis, J.M. Joshi

Keywords : Pneumoconiosis, Occupation, Fibrosis

Citation Information : Karkhanis VS, Joshi J. Pneumoconioses. Indian J Chest Dis Allied Sci 2013; 55 (1):25-34.

DOI: 10.5005/ijcdas-55-1-25

License: NA

Published Online: 10-03-2013

Copyright Statement:  NA


Abstract

Occupational lung diseases are caused or made worse by exposure to harmful substances in the work-place. “Pneumoconiosis” is the term used for the diseases associated with inhalation of mineral dusts. While many of these broadspectrum substances may be encountered in the general environment, many occur in the work-place for greater amounts as a result of industrial processes; therefore, a range of lung reactions may occur as a result of work-place exposure. Physicians in metropolitan cities are likely to encounter pneumoconiosis for two reasons: (i) patients coming to seek medical help from geographic areas where pneumoconiosis is common, and (ii) pneumoconiosis caused by unregulated small-scale industries that are housed in poorly ventilated sheds within the city. A sound knowledge about the various pneumoconioses and a high index of suspicion are necessary in order to make a diagnosis. Identifying the disease is important not only for treatment of the individual case but also to recognise and prevent similar disease in co-workers.


PDF Share
  1. Fourth International Pneumoconiosis Conference. Report of the working party on the Definition of Pneumoconiosis. Geneva: International Labour Organization; 1971.
  2. Chong S, Lee KS, Chung MJ, Han J, Kwon OJ, Kim TS. Pneumoconiosis: comparison of imaging and pathologic findings. Radiographics 2006;26:59-77.
  3. Fujimura N. Pathology and pathophysiology of pneumoconiosis. Curr Opin Pulm Med 2000;6:140-4.
  4. Beckett WS. Occupational respiratory diseases. N Engl J Med 2000;342:406-12.
  5. Fraser P. Pleuropulmonary disease caused by inhalation of inorganic dust. In: Fraser P, editors Diagnosis of Diseases of the Chest; 3rd edition. Philadelphia: W.B. Saunders; 1990: pp 2276-81.
  6. Pham QT. Chest radiography in the diagnosis of pneumoconiosis. Int J Tuberc Lung Dis 2001;5:478-82.
  7. Mcloud T. Occupational lung disease. Radiol Clin North Am 1991;29:931-41.
  8. Akira M. High-resolution CT in the evaluation of occupational and environmental disease. Radiol Clin North Am 2002;40:43-59.
  9. International Labour Organization (ILO). Guidelines for the use of ILO International Classification of Radiographs of Pneumoconiosis. Geneva: ILO; 1980.
  10. Chung SY, Lee JH, Kim TH, Kim SJ, Kim HJ, Ryu YH. 18FFDG PET imaging of progressive massive fibrosis. Ann Nucl Med 2010;24:21-7.
  11. Crofton J, Douglas A. Occupational lung disease. In: Respiratory Diseases. Singapore: PG Publishing Pvt Ltd; 1983: p. 575.
  12. Kuschner WG, Stark P. Occupational lung disease. Part 2. Discovering the cause of diffuse parenchymal lung disease. Postgrad Med J 2003;113:81-8.
  13. Feng Y, Yang Z. Pneumoconiosis: high-resolution CT characteristics and patho-physiology. Sheng Wu Yi Xue Gong Cheng Xue Za Zhi 2010;27:219-21.
  14. Kimura K, Ohtsuka Y, Kaji H, Nakano I, Sakai I, Itabashi K, et al. Progression of pneumoconiosis in coal miners after cessation of dust exposure: a longitudinal study based on periodic chest x-ray examinations in Hokkaido. Japanese Intern Med 2010;49:1949-56.
  15. Aberle DR, Gamsu R, Ray CS, Feuerstein IM. Asbestosrelated pleural and parenchymal fibrosis: detection with high-resolution CT. Radiology 1988;166:729-34.
  16. Doig AT, McLaughlin AIG. X-ray appearances of the lungs of electric arc welders. Lancet 1936;1:771-5.
  17. McCormick L, Goddard M, Mahadeva R. Pulmonary fibrosis secondary to siderosis causing symptomatic respiratory disease: a case report. J Med Case Rep 2008;2: 257.
  18. Billings CG, Howard P. Occupational siderosis and welders’ lung: a review. Monaldi Arch Chest Dis 1993;48: 304-14.
  19. Flors L, Domingo ML, Leiva-Salinas C, Mazón M, Roselló-Sastre E, Vilar J. Uncommon occupational lung diseases: high-resolution CT findings. AJR Am J Roentgenol 2010;194:W20-6.
  20. Kim KI, Kim CW, Lee MK, Lee KS, Park CK, Choi SJ, et al. Imaging of occupational lung disease. Radiographics 2001;21:1371-91.
  21. Sluis-cremer GK, Thomas RG, Goldstein B, Solomon A. Stannosis: a report of 2 cases. S Afr Med J 1989;75:124-6.
  22. Yilmaz A, Göçmen Ocal S, Doruk S, Acu B. Is tin fume exposure benign or not: two case reports. Tuberk Toraks 2009;57:422-6.
  23. Doig AT. Baritosis: a benign pneumoconiosis. Thorax 1976;31:30-9.
  24. Wende E. Pneumokoniose bei Baryt- und Lithoponearbeitern. Archiv fur Gewerbepathologie und Gewerbhygiene 1956; 15:171.
  25. Dinman BD. Aluminum in the lung: the pyropowder conundrum. J Occup Med 1987;29:869-76.
  26. Herbert A, Sterling G, Abraham J, Corrin B. Desquamative interstitial pneumonia in an aluminum welder. Human Pathol 1982;13:694-9.
  27. Voisin C, Fisekci F, Buclez B, Didier A, Couste B, Bastien F. Mineralogical analysis of the respiratory tract in aluminiumoxide-exposed workers. Eur Respir J 1996; 9:1874-9.
  28. Nasiadek M, Sapota A. Toxic effect of dust and fumes of aluminium and its compounds on workers’ respiratory tract. Med Pract 2004;55:495-500.
  29. Kraus T, Schaller KH, Angerer J, Hilgers RD, Letzel S. Aluminosis—detection of an almost forgotten disease with HRCT. J Occup Med Toxicol 2006;17:1-4.
  30. Thorel C. Talc lung: a contribution to the pathological anatomy of pneumoconiosis. Beitr Pathol Anat Allgem Pathol 1896; 20:85-101.
  31. Vallyathan NV, Craighead JE. Pulmonary pathology in workers exposed to non asbestiform talc. Human Pathol 1981;12:28-35.
  32. Scheel AH, Krause D, Haars H, Schmitz I, Junker K. Talcum induced pneumoconiosis following inhalation of adulterated marijuana: a case report. Diagn Pathol 2012; 15:26.
  33. Marchiori E, Lourenço S, Gasparetto TD, Zanetti G, Mano CM, Nobre LF. Pulmonary talcosis: imaging findings. Lung 2010;188:165-71.
  34. Lynch DA. Imaging of beryllium-related diseases. In: Genevois A, De Vust P, editors. Imaging of Occupational and Environmental Disorders of the Chest. Germany: Springer-Verlag; 2006: pp 249-56.
  35. Barna BP, Culver DA, Yen-Lieberman B, Dweik RA, Thomassen MJ. Clinical application of beryllium lymphocyte proliferation testing. Clin Diagn Lab Immunol 2003;10:990-4.
  36. Remy-Jardin M, Remy J, Farre I, Marquette CH. Computed tomographic evaluation of silicosis and coal worker's pneumoconiosis. Radiol Clin North Am 1992;30: 1155-76.
  37. Snider DE. Relationship between tuberculosis and silicosis [editorial]. Am Rev Respir Dis 1978;118:455-60.
  38. Iyer R, Holian A. Immunological aspects of silicosis. In: Castranova V, Wallyathan V, Wallace E, editors. Silica and Silica-induced Lung Diseases. Boca Raton: CRC Press; 1996: pp 253-67.
  39. Barboza CE, Winter DH, Seiscento M, Santos Ude P, Terra Filho M. Tuberculosis and silicosis: epidemiology, diagnosis and chemoprophylaxis. J Bras Pneumol 2008;34:959-66.
  40. Morgan WK, Seaton A. Occupational Lung Diseases. Philadelphia: W.B. Saunders; 1975: pp 149-210.
  41. Wade WA, Petsonk EL, Young B, Mogri I. Severe occupational pneumoconiosis among West Virginian coal miners: one hundred thirty-eight cases of progressive massive fibrosis compensated between 2000 and 2009. Chest 2011;139:1458-62.
  42. Honma K, Vallyathan V. Rheumatoid pneumoconiosis: a comparative study of autopsy cases between Japan and North America. Ann Occup Hyg 2002;46:265-7.
  43. Caplan A. Certain unusual radiological appearances in the chest of coal-miners suffering from rheumatoid arthritis. Thorax 1953;8:29-37.
  44. American Thoracic Society. Medical section of the American Lung Association: the diagnosis of nonmalignant diseases related to asbestos. Am Rev Respir Dis 1986;134:363-8.
  45. Churg A, Stevens B. Enhanced retention of asbestos fibers in the airways of human smokers. Am J Respir Crit Care Med 1995;151:1409-13.
  46. Copley SJ, Wells AU, Sivakumaran P, Rubens MB, Lee YC, Desai SR, et al. Asbestosis and idiopathic pulmonary fibrosis: comparison of thin-section CT features. Radiology 2003;229:731-6.
  47. Davison AG, Haslam PL, Corrin B, Coutts II, Dewar A, Riding WD, et al. Interstitial lung disease and asthma in hard metal workers: bronchoalveolar lavage, ultra structural and analytical findings and results of bronchial provocation tests. Thorax 1983;38:119-28.
  48. Nemery B, Verbeken EK, Demedts M. Giant cell interstitial pneumonia in hard metal lung disease, cobalt lung. Semin Respir Crit Care Med 2001;22:435-47.
  49. Nemery B, Bast A, Behr J, Borm PJ, Bourke SJ, Camus PH, et al. Interstitial lung disease induced by exogenous agents: factors governing susceptibility. Eur Respir J 2001;18:30s–42s.
  50. Cugell DW, Morgan WKC, Perkins DG, Rubin A. The respiratory effects of cobalt. Arch Intern Med 1990;150:177- 83.
  51. Coates EO Jr, Watson JH. Diffuse interstitial lung disease in tungsten carbide workers. Ann Intern Med 1971;75:709- 16.
  52. Raymond PW. Non-neoplastic disorders due to metallic, chemical and physical agents. In: Raymonds PW, editor Occupational Lung Diseases; 2nd edition. London: Butterworths; 1982: pp 464-66.
  53. Palmer PES. Transkei silicosis. South Afr Med J 1967;41:1182-8.
  54. Grobbelaar JP, Bateman ED. Hut lung: a domestically acquired pneumoconiosis of mixed etiology in rural woman. Thorax 1991;46:334-40.
  55. Sundaram P, Kamat R, Joshi JM. Flour mill lung: a pneumoconiosis of mixed aetiology. Indian J Chest Dis Allied Sci 2002;44:199-201.
  56. Gothi D, Joshi JM. Rayon Lung in a non-flocking industry worker. Indian J Chest Dis Allied Sci 2009;51:177-9.
  57. Kern DG, Kuhn C 3rd, Ely EW, Pransky GS, Mello CJ, Fraire AE, et al. Flock worker's lung: broadening the spectrum of clinicopathology, narrowing the spectrum of suspected etiologies. Chest 2000;117:251-9.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.