Silicosis: Diagnosis and Medicolegal Implications.
Aged
Comorbidity
Databases, Factual
Female
Hospitalization
/ statistics & numerical data
Humans
Lung
/ pathology
Lymphadenopathy
/ pathology
Male
Occupational Exposure
/ adverse effects
Pulmonary Fibrosis
/ pathology
Retrospective Studies
Sex Distribution
Silicosis
/ diagnosis
Wisconsin
/ epidemiology
forensic pathology
forensic science
occupational diseases
pneumoconiosis
silicosis
workers’ compensation
Journal
Journal of forensic sciences
ISSN: 1556-4029
Titre abrégé: J Forensic Sci
Pays: United States
ID NLM: 0375370
Informations de publication
Date de publication:
Sep 2019
Sep 2019
Historique:
received:
04
01
2019
revised:
18
02
2019
accepted:
28
02
2019
pubmed:
23
3
2019
medline:
18
12
2019
entrez:
23
3
2019
Statut:
ppublish
Résumé
Despite well-publicized sources of occupational hazard, silicosis continues to threaten industrial workers in the United States. We performed a retrospective search of the University of Wisconsin electronic pathology database to retrieve autopsy cases of silicosis and collaborated with the Wisconsin Department of Health Services to obtain statewide epidemiologic data regarding silicosis morbidity/mortality since 2003. Three silicosis autopsy cases were retrieved: all were men with ≥ 30 years of occupational crystalline silica exposure and similar histologic features of collagenous pulmonary nodules with admixed refractile particles. Overall, our state exceeds the national rate of silicosis-related hospitalizations and mortality, that is, 10.1 hospitalizations per million WI residents versus 1.2 nationally and 1.2 deaths per million WI residents versus 0.4 nationally. Surveillance is crucial to identify emerging occupational hazards and protect workers. A diagnosis of silicosis must be carefully considered at autopsy since it carries substantial implications for worker's compensation, compensatory losses, and employer liability.
Identifiants
pubmed: 30901491
doi: 10.1111/1556-4029.14048
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1389-1398Informations de copyright
© 2019 American Academy of Forensic Sciences.
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