https://doi.org/10.4081/monaldi.2022.2345
A 44-year-old stone worker with progressive dyspnea: lessons from a new twist on an old foe
Submitted: June 2, 2022
Accepted: August 17, 2022
Published: September 13, 2022
Accepted: August 17, 2022
Abstract Views: 982
PDF: 431
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Silicosis is typically an indolent lung disease caused by long-standing occupational exposure to respirable crystalline silica, classically in professions such as sandblasting and mining. An increasingly popular industry that has earned particular interest because of its association with silicosis is customization and installation of artificial stone countertops for domestic applications. In addition to causing a spike in cases of chronic and accelerated silicosis, both quite familiar to respiratory clinicians, outbreaks of artificial stone silicosis have brought to the fore a historically rare entity known as acute silicosis, or silicoproteinosis, a more rapid presentation of the disease. Failure to suspect this uncommon condition can lead to diagnostic confusion and therefore ineffective treatment as was true initially of the patient we describe herein. The case description is followed by a clinical, radiological, and pathological overview of acute artificial stone silicosis (or silicoproteinosis), which is an emerging pneumoconiosis with sparse coverage in the literature to date. This case also adds to the few existing reports on the use of therapeutic whole lung lavage for silicoproteinosis.
Barnes H, Goh NSL, Leong TL, Hoy R. Silica-associated lung disease: An old-world exposure in modern industries. Respirology 2019;24:1165-75.
DOI: https://doi.org/10.1111/resp.13695
Krefft S, Wolff J, Rose C. Silicosis: An update and guide for clinicians. Clin Chest Med 2020;41:709-22.
DOI: https://doi.org/10.1016/j.ccm.2020.08.012
Rose C, Heinzerling A, Patel K, et al. Severe silicosis in engineered stone fabrication workers - California, Colorado, Texas, and Washington, 2017-2019. MMWR Morb Mort Wkly Rep 2019;68:813-8.
DOI: https://doi.org/10.15585/mmwr.mm6838a1
Martínez C, Prieto A, García L, et al. Silicosis: a disease with an active present. Arch Bronconeumol 2010;46:97-100.
DOI: https://doi.org/10.1016/S1579-2129(10)70022-7
Kramer MR, Blanc PD, Fireman E, et al. Artificial stone silicosis [corrected]: disease resurgence among artificial stone workers. Chest 2012;142:419424.
DOI: https://doi.org/10.1378/chest.11-1321
Buechner HA, Ansari A. Acute silico-proteinosis. A new pathologic variant of acute silicosis in sandblasters, characterized by histologic features resembling alveolar proteinosis. Dis Chest 1969;55:274-8.
DOI: https://doi.org/10.1378/chest.55.4.274
Xiao YL, Xu KF, Li Y, et al. Occupational inhalational exposure and serum GM-CSF autoantibody in pulmonary alveolar proteinosis. Occup Environ Med 2015;72:504-12.
DOI: https://doi.org/10.1136/oemed-2014-102407
Hoy RF, Baird T, Hammerschlag G, et al. Artificial stone-associated silicosis: a rapidly emerging occupational lung disease. Occup Environ Med 2018;75:3-5.
DOI: https://doi.org/10.1136/oemed-2017-104428
León-Jiménez A, Hidalgo-Molina A, Conde-Sánchez M, et al. Artificial stone silicosis: Rapid progression following exposure cessation. Chest 2020;158:1060-8.
DOI: https://doi.org/10.1016/j.chest.2020.03.026
Stafford M, Cappa A, Weyant M, et al. Treatment of acute silicoproteinosis by whole-lung lavage. Semin Cardiothorac Vasc Anesth 2013;17:152-9.
DOI: https://doi.org/10.1177/1089253213486524
Chambers DC, Apte SH, Deller D, et al. Radiological outcomes of whole lung lavage for artificial stone-associated silicosis. Respirology 2021;26:501-3.
DOI: https://doi.org/10.1111/resp.14018
Goodman GB, Kaplan PD, Stachura I, et al. Acute silicosis responding to corticosteroid therapy. Chest 1992;101:366-70.
DOI: https://doi.org/10.1378/chest.101.2.366
Guarnieri G, Bizzotto R, Gottardo O, et al. Multiorgan accelerated silicosis misdiagnosed as sarcoidosis in two workers exposed to quartz conglomerate dust. Occup Environ Med 2019;76:178-80.
DOI: https://doi.org/10.1136/oemed-2018-105462
Rossi SE, Erasmus JJ, Volpacchio M, et al. "Crazy-paving" pattern at thin-section CT of the lungs: radiologic-pathologic overview. Radiographics 2003;23:1509-19.
DOI: https://doi.org/10.1148/rg.236035101
Arakawa H, Johkoh T, Honma K, et al. Chronic interstitial pneumonia in silicosis and mix-dust pneumoconiosis: its prevalence and comparison of CT findings with idiopathic pulmonary fibrosis. Chest 2007;131:1870-6.
DOI: https://doi.org/10.1378/chest.06-2553
Cox CW, Rose CS, Lynch DA. State of the art: Imaging of occupational lung disease. Radiology 2014;270:681-96.
DOI: https://doi.org/10.1148/radiol.13121415
Marchiori E, Souza CA, Barbassa TG, et al. Silicoproteinosis: High-resolution CT findings in 13 patients. AJR Am J Roentgenol 2007;189:1402-6.
DOI: https://doi.org/10.2214/AJR.07.2402
Shen H-S, Lai Y-T, Tsai H-C, Chang S-C. Artificial stone-associated silicosis with concurrent Cryptococcus infection. Respirol Case Rep 2021;9:e00765.
DOI: https://doi.org/10.1002/rcr2.765
Batra K, Aziz MU, Adams TN, Godwin JD. Imaging of occupational lung diseases. Semin Roentgenol 2019;54:44-58.
DOI: https://doi.org/10.1053/j.ro.2018.12.005
Ishii H, Trapnell BC, Tazawa R, et al. Comparative study of high-resolution CT findings between autoimmune and secondary pulmonary alveolar proteinosis. Chest 2009;136:1348-55.
DOI: https://doi.org/10.1378/chest.09-0097
Souza CA, Müller NL, Lee KS, et al. Idiopathic interstitial pneumonias: prevalence of mediastinal lymph node enlargement in 206 patients. AJR Am J Roentgenol 2006;186:995-9.
DOI: https://doi.org/10.2214/AJR.04.1663
Rimal B, Greenberg AK, Rom WN. Basic pathogenetic mechanisms in silicosis: current understanding. Curr Opin Pulm Med 2005;11:169-73.
DOI: https://doi.org/10.1097/01.mcp.0000152998.11335.24
[No authors listed]. Diseases associated with exposure to silica and nonfibrous silicate minerals. Silicosis and Silicate Disease Committee. Arch Pathol Lab Med 1988;112:673-720.
Levin K, McLean C, Hoy R. Artificial stone-associated silicosis: clinical-pathological-radiological correlates of disease. Respirol Case Rep 2019;7:e00470.
DOI: https://doi.org/10.1002/rcr2.470
Carey B, Trapnell BC. The molecular basis of pulmonary alveolar proteinosis. Clin Immunol 2010;135:223-35.
DOI: https://doi.org/10.1016/j.clim.2010.02.017
How to Cite
Manglani, Ravi, Sara Akbar, Mary Beth Beasley, and Oleg Epelbaum. 2022. “A 44-Year-Old Stone Worker With Progressive Dyspnea: Lessons from a New Twist on an Old Foe”. Monaldi Archives for Chest Disease 93 (2). https://doi.org/10.4081/monaldi.2022.2345.
Copyright (c) 2022 The Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Similar Articles
- Roberto Torchio, Alessandra Mazzucco, Marco Guglielmo, Roberto Giardino, Claudio Ciacco, Francesco Ardissone, Minute ventilation to carbon dioxide output (V’E/V’CO2 slope) is the strongest death predictor before larger lung resections , Monaldi Archives for Chest Disease: Vol. 87 No. 3 (2017)
- Manoranjan Pattnaik, Jeetendra Kumar Patra, Onkar Kumar Jha, Endobronchial ultrasound sonographic characteristics of mediastinal lymph node in the evaluation of lung cancer , Monaldi Archives for Chest Disease: Vol. 94 No. 2 (2024)
- Alfonso Carleo, Claudia Landi, Antje Prasse, Laura Bergantini, Miriana d'Alessandro, Paolo Cameli, Sabina Janciauskiene, Paola Rottoli, Luca Bini, Elena Bargagli, Proteomic characterization of idiopathic pulmonary fibrosis patients: stable versus acute exacerbation , Monaldi Archives for Chest Disease: Vol. 90 No. 2 (2020)
- Yeliz Akturk, Serra Ozbal Günes, Baki Hekimoglu, A rib abnormality mimicking pulmonary nodule: a pitfall in the plain chest x-ray , Monaldi Archives for Chest Disease: Vol. 81 No. 1-2 (2015): Pulmonary series
- Soumitra Ghosh, Neha Handa, Sudheer Tale, Ashish Bhalla, A rare case of lung abscess due to esophageo-pulmonary fistula in asymptomatic carcinoma of esophagus , Monaldi Archives for Chest Disease: Vol. 91 No. 4 (2021)
- Ana Hecimovic, Andrea Vukic Dugac, Mateja Jankovic Makek, Maja Cikes, Miroslav Samarzija, Marko Jakopovic, Treatment of EGFR positive lung adenocarcinoma in a heart transplanted patient , Monaldi Archives for Chest Disease: Vol. 89 No. 2 (2019)
- Daniele Magnini, Emilio Bria, Alessandra Cancellieri, Vanina Livi, Fausto Leoncini, Marco Ferrari, Teresa Bruni, Daniela Paioli, Rocco Trisolini, Bronchoscopically-visible massive central airway cancer cavitation is associated with metastatic disease, lack of actionable mutations and poor prognosis: a case series , Monaldi Archives for Chest Disease: Early Access
- Pietro Bertoglio, Ivan Lomangino, Giulia Querzoli, Angela Bonalumi, Giuseppe S. Bogina, Alberto C. Terzi, Primary Hodgkin lymphoma of the lung arising with hemoptysis and pulmonary consolidation: a case report , Monaldi Archives for Chest Disease: Vol. 91 No. 4 (2021)
- Marco Umberto Scaramozzino, Maurizia Festa, Guido Levi, Ubaldo Romeo Plastina, Giovanni Sapone, Correlation between gastroesophageal reflux disease lung volumes and exacerbation of bronchial asthma: Italian pilot observational retrospective study GERDAS , Monaldi Archives for Chest Disease: Vol. 94 No. 2 (2024)
- G. Domenighetti, A. Moccia, R. Gayer, Observational case-control study of non-invasive ventilation in patients with ARDS , Monaldi Archives for Chest Disease: Vol. 69 No. 1 (2008): Pulmonary series
<< < 10 11 12 13 14 15 16 17 18 19 > >>
You may also start an advanced similarity search for this article.
