Respircase Cilt: 4 - Sayı: 1 Yıl: 2015

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Respiratory Case Reports In conclusion, as exposure both to metal fumes and pigeons had the potential to develop lung diseases with a similar clinic and radiology, a careful environmental history and laboratory examination are import in highlighting the diagnostic dilemma. CONFLICTS OF INTEREST None declared. AUTHOR CONTRIBUTIONS Concept - A.B., F.K., Ö.B., M.İ., Ö.G.; Planning and Design - A.B., F.K., Ö.B., M.İ., Ö.G.; Supervision - A.B., F.K., Ö.B., M.İ., Ö.G.; Funding - Materials - F.K.; Data Collection and/or Processing - Ö.B., Ö.G.; Analysis and/or Interpretation - M.İ.; Literature Review - A.B.; Writing - A.B.; Critical Review - F.K. YAZAR KATKILARI Fikir - A.B., F.K., Ö.B., M.İ., Ö.G.; Tasarım ve Dizayn - A.B., F.K., Ö.B., M.İ., Ö.G.; Denetleme - A.B., F.K., Ö.B., M.İ., Ö.G.; Kaynaklar - Malzemeler - F.K.; Veri Toplama ve/veya İşleme - Ö.B., Ö.G.; Analiz ve/veya Yorum - M.İ.; Literatür Taraması - A.B.; Yazıyı Yazan - A.B.; Eleştirel İnceleme - F.K. REFERENCES 1. Ozdemir O, Numanoğlu N, Gönüllü U, Savaş I, Alper D, Gürses H. Chronic effects of welding exposure on pulmonary function tests and respiratory symptoms. Occup Environ Med 1995; 52:800-3. [CrossRef] 2. Schuyler M, Cormier Y: The diagnosis of hypersensitivity pneumonitis. Chest 1997; 111:534-6. [CrossRef] 3. Yamada G, Igarashi T, Sonoda H, Morita S, Suzuki K, Yoshida Y, et al. Use of bronchopulmonary lavage for eliminating inhaled fume particles from a patient with arc welder's lung. Intern Med 1998; 37:962-4. [CrossRef] 4. Ji C, Chen G, Cai HR, Meng FQ, Chen YB, Guo LC, et al. An unusual case of Welder's siderosis with local massive fibrosis: a case report. Chin Med J (Engl) 2012; 125:552-4. 5. Khalid I, Khalid TJ, Jennings JH. A welder with pneumosiderosis: a case report. Cases J 2009; 2:6639. [CrossRef] 6. Fidan F, Esme H, Unlu M, Acar M, Albayrak R, Dilek FH. Welder’s lung associated with pneumothorax. J Thorac Imaging 2005; 20:120-2. [CrossRef] 7. Sørensen AR, Thulstrup AM, Hansen J, Ramlau-Hansen CH, Meersohn A, Skytthe A, et al. Risk of lung cancer according to mild steel and stainless steel welding. Scand J Work Environ Health 2007; 33:379-86. [CrossRef] 8. Hirschmann JV, Pipavath SN, Godwin JD. Hypersensitivity pneumonitis: a historical, clinical, and radiologic review. Radiographics 2009; 29:1921-38. [CrossRef] 9. Ashizawa H, Fujita A, Inami N, Tsuchiya T, Yoshitomi A, Masuda M, et al. Case of pulmonary aspergilloma in the apices of both lungs which was associated with welder’s lung. Nihon Kokyuki Gakkai Zasshi 2010; 48:860-5. Cilt - Vol. 4 Sayı - No. 1 4
Respir Case Rep 2015;4(1):5-9 DOI: 10.5505/respircase.2015.40085 CASE REPORT OLGU SUNUMU Fatma Çiftci, Aslıhan Gürün Kaya, Aydın Çiledağ, Akın Kaya RESPIRATORY CASE REPORTS Dental technician’s pneumoconiosis is a newly described, rare, and distinct type of pneumoconiosis. It is a result of direct exposure to dental alloy, acrylic resin, quartz, carbon, silica, and hard metal dust that are abundant in the air respired by dental technicians. We report herein three patients with respiratory complaints who were diagnosed with dental technician’s pneumoconiosis. Key words: Dental technician, pneumoconiosis, silica. Dental technicians are constantly exposed to various mineral dusts when polishing and grinding prosthetics and during casting operations while working on dental frameworks (prosthesis, crowns, dentures, and bridges). Various chemical hazards exist in their working environment, including solvents, mineral acids, gases and vapors released during polymerization, metal casting, and porcelain baking, as well as plaster, metal alloys, ceramics, and acrylic resins. Commonly implicated agents include alloys based on cobalt, chromium, nickel and small amounts of molybdenum, silica, boron, tantalum, and beryllium (1). This type of ex- Diş teknisyeni pnömokonyozu yeni tanımlanan, nadir, farklı bir pnömokonyoz grubudur. Diş teknisyenleri tarafından kullanılan dental alloy, akrilik resin, kuvartz, karbon, silika ve ağır metal tozlarına doğrudan maruziyet ve soludukları havada fazla miktarda bulunmasının sonucunda gelişir. Solunum yakınmalarıyla başvuran ve diş teknisyeni pnömokonyozu tanısı konulan üç olguyu sunuyoruz. Anahtar Sözcükler: Diş teknisyeni, pnömokonyoz, silika. posure may directly result in pneumoconiosis, hypersensitivity pneumonia, asthma, and lung cancer (2). As dental technicians are constantly exposed to a variety of chemicals at work, a direct link between a specific causative agent and lung fibrosis cannot be readily established. The emergence of pneumoconiosis directly depends on the duration of exposure. The most common radiological finding of the disease is the development of micronodules in the lungs. While the early stage of the disease is characterized by small, irregular, round opacities, these lesions tend to increase in number and size, leading to a stage of massive fibrosis. Department of Chest Disease, Ankara University, Faculty of Medicine, Ankara, Turkey Ankara Üniversitesi, Tıp Fakültesi, Göğüs Hastalıkları Anabilim Dalı, Ankara Submitted (Başvuru tarihi): 17.09.2014 Accepted (Kabul tarihi): 20.10.2014 Correspondence (İletişim): Fatma Çiftci, Department of Chest Disease, Ankara University, Faculty of Medicine, Ankara, Turkey e-mail: fatmarslann@yahoo.com 5
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