Acute silicosis responding to corticosteroid therapy

Details

• Personal Author:
  Castranova, Vincent ; Goodman GB ; Kaplan PD ; Lapp, N. Leroy ; Pailes WH ; Stachura I
• Description:
  Clinical improvement of acute silicosis due to corticosteroid treatment was reported in the case of a rock driller. The 33 year old patient had worked as a quarry rock driller and at surface coal mines in western Pennsylvania for about 10 years. His work involved wet processing for dust reduction prior to 1983, but dry processing after 1983. A respirator was never worn. In August of 1986, an X- ray was performed in response to complaints of chest pain and shortness of breath; it revealed only a few opacities. The patient continued working and the symptoms subsided, but he experienced progressive weight loss. By May of 1987 he had lost 50 pounds and suffered profound malaise, dyspnea, migratory chest pain and arthralgia, fevers, and drenching night sweats. A dramatic but transient response to corticosteroid therapy was seen; however, later chest radiography and pulmonary function tests indicating deterioration to category-A complicated silicosis. [Description provided by NIOSH]
• Subjects:
  Coal Dust Lung Diseases Occupational Health Respiratory Tract Diseases Safety
• Keywords:
  Coal-dust Dust-inhalation Lung-disease Medical-treatment Mineral-dusts NIOSH-Author Respiratory-system-disorders
• ISSN:
  0012-3692
• Document Type:
  Text
• Genre:
  Journal Article
• Place as Subject:
  OSHA Region 3 ; Pennsylvania ; West Virginia
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  DRDS - Division of Respiratory Disease Studies
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  366-370
• Volume:
  101
• Issue:
  2
• NIOSHTIC Number:
  nn:00205382
• Citation:
  Chest 1992 Feb; 101(2):366-370
• Federal Fiscal Year:
  1992
• NORA Priority Area:
  Pulmonary System Disorders
• Peer Reviewed:
  True
• Source Full Name:
  Chest
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:42f56fa68d948cc73fa1a4c4252638b9dcc40e6d11c8054d4b6423b7ec8a9b3210cba3a2f4e09bdeab35e56190813e479ebde14532cfd5a65d5a5cb5aa5353eb
• Download URL:
  https://stacks.cdc.gov/view/cdc/204074/cdc_204074_DS1.pdf
• File Type:
  [PDF - 928.85 KB ]