Silicosis with Bilateral Spontaneous Pneumothorax in Rajasthan.
B/L pneumothorax
silicosis
spontaneous pneumothorax
Journal
Indian journal of occupational and environmental medicine
ISSN: 0973-2284
Titre abrégé: Indian J Occup Environ Med
Pays: India
ID NLM: 9815775
Informations de publication
Date de publication:
Historique:
received:
20
11
2018
accepted:
09
05
2019
entrez:
11
1
2020
pubmed:
11
1
2020
medline:
11
1
2020
Statut:
ppublish
Résumé
Silicosis is an occupational lung disease caused by inhalation of crystalline silica. People working in occupations like sandblasting, surface drilling, tunnelling, silica flour milling, ceramic making are predisposed to develop silicosis. Unilateral spontaneous pneumothorax is a pleural complication that can develop in such cases. Our aim is to see the prevalence of bilateral pneumothorax in silicosis in Rajasthan and associated predisposing factors. Fifty patients of silicosis prospectively reviewed by historical, clinical evaluation, and radiological evidence with increased dyspnea and chest pain in 1 year were included in the study. In all patients, chest X-ray was done immediately. Sputum for acid fast bacilli was done in all cases. Cough and shortness of breath were most common symptoms and present in all cases. All cases were smokers. Chest radiograph revealed reticulonodular density with B/L pneumothorax in all patients. Tube thoracostomy was done in all cases except one in which conservative management was done. Cases with silicosis can develop complications like tuberculosis, lung cancer, progressive massive fibrosis, cor pulmonale, broncholithiasis, or tracheobronchial compression by lymph nodes. Pleural involvement in silicosis is rare. Spontaneous pneumothorax is a pleural complication that can develop in such cases. Usually in silicosis pneumothorax is unilateral. We report here an original article with silicosis who presented with bilateral spontaneous pneumothoraxes occurring simultaneously. The rarity of its clinical presentation in the form of bilateral simultaneous spontaneous pneumothorax combined with the typical clinical and radiological features of silicosis will make us to report this article.
Sections du résumé
BACKGROUND AND AIMS
OBJECTIVE
Silicosis is an occupational lung disease caused by inhalation of crystalline silica. People working in occupations like sandblasting, surface drilling, tunnelling, silica flour milling, ceramic making are predisposed to develop silicosis. Unilateral spontaneous pneumothorax is a pleural complication that can develop in such cases. Our aim is to see the prevalence of bilateral pneumothorax in silicosis in Rajasthan and associated predisposing factors.
METHODS
METHODS
Fifty patients of silicosis prospectively reviewed by historical, clinical evaluation, and radiological evidence with increased dyspnea and chest pain in 1 year were included in the study. In all patients, chest X-ray was done immediately. Sputum for acid fast bacilli was done in all cases.
RESULTS
RESULTS
Cough and shortness of breath were most common symptoms and present in all cases. All cases were smokers. Chest radiograph revealed reticulonodular density with B/L pneumothorax in all patients. Tube thoracostomy was done in all cases except one in which conservative management was done.
CONCLUSIONS
CONCLUSIONS
Cases with silicosis can develop complications like tuberculosis, lung cancer, progressive massive fibrosis, cor pulmonale, broncholithiasis, or tracheobronchial compression by lymph nodes. Pleural involvement in silicosis is rare. Spontaneous pneumothorax is a pleural complication that can develop in such cases. Usually in silicosis pneumothorax is unilateral. We report here an original article with silicosis who presented with bilateral spontaneous pneumothoraxes occurring simultaneously. The rarity of its clinical presentation in the form of bilateral simultaneous spontaneous pneumothorax combined with the typical clinical and radiological features of silicosis will make us to report this article.
Identifiants
pubmed: 31920259
doi: 10.4103/ijoem.IJOEM_247_18
pii: IJOEM-23-112
pmc: PMC6941338
doi:
Types de publication
Journal Article
Langues
eng
Pagination
112-116Informations de copyright
Copyright: © 2019 Indian Journal of Occupational and Environmental Medicine.
Déclaration de conflit d'intérêts
There are no conflicts of interest.
Références
IARC Monogr Eval Carcinog Risks Hum. 1997;68:1-475
pubmed: 9303953
Case Rep Pathol. 2014;2014:561861
pubmed: 24744938
Environ Health Perspect. 2000 Aug;108 Suppl 4:675-84
pubmed: 10931786
Chest. 1987 Dec;92(6):1009-12
pubmed: 3677805
Chest. 1994 Apr;105(4):1142-6
pubmed: 8162740
Environ Health Perspect. 1994 Dec;102 Suppl 10:159-63
pubmed: 7705291
Arch Pathol Lab Med. 1995 Mar;119(3):242-6
pubmed: 7887777
BMJ Case Rep. 2014 May 26;2014:null
pubmed: 24862410
Indian J Med Res. 1995 Sep;102:138-42
pubmed: 8543354
Lung India. 2010 Jul;27(3):173-5
pubmed: 20931041