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
- Andrea Lanza, Maurizio Sommariva, Sara Mariani, Gabriela Ferreyra, Giuliana Enrica Stagni, Valeria Tombini, Angela Oppizzi, Catia Pontiggia, Andrea Bellone, Prolonged non-invasive respiratory supports in a COVID-19 patient with severe acute hypoxemic respiratory failure , Monaldi Archives for Chest Disease: Vol. 92 No. 1 (2022)
- Davide Cavasin, Umberto Zanini, Laura Montelisciani, Maria Grazia Valsecchi, Laura Fabbri, Laura Antolini, Fabrizio Luppi, The impact of COVID-19 infection on idiopathic pulmonary fibrosis mortality: a systematic review and meta-analysis , Monaldi Archives for Chest Disease: Early Access
- Eleni D. Eleftheriadou, Maria Saroglou, Nikolaos Syrigos, Ellias Kotteas, Marousa Kouvela, The role of immunotherapy in patients with lung cancer and brain metastases: a narrative review of the literature , Monaldi Archives for Chest Disease: Early Access
- Tochukwu Adizie, Lauren Dolan, Aqusa Zahid, Ahmed Fahim, Assessing disease activity in scleroderma-related interstitial lung disease: a review and practical guide to management , Monaldi Archives for Chest Disease: Early Access
- Ravi Manglani, Moshe Fenster, Theresa Henson, Ananth Jain, Neil Schluger, Clinical characteristics, imaging, and lung function among patients with persistent dyspnea of COVID-19: a retrospective observational cohort study , Monaldi Archives for Chest Disease: Early Access
- Carmine Guarino, Cristiano Cesaro, Giuseppe Fiorentino, Francesco Rossi, Benedetto Maria Polverino, Fiorentino Fragranza, Luca Monastra, Patrizia Murino, Enzo Zamparelli, Giuseppe La Cerra, Bronchoscopy in COVID-19 patients: When, how and why. Experience in clinical practice , Monaldi Archives for Chest Disease: Vol. 91 No. 2 (2021)
- Carmine Guarino, Ilaria Pedicelli, Francesco Perna, Valentina Di Spirito, Giuseppe Fiorentino, Fabio Procaccini, Gaetano Rea, E-cigarette, or vaping, product use Associated Lung Injury (EVALI): new scenarios for physicians and radiologists , Monaldi Archives for Chest Disease: Vol. 92 No. 3 (2022)
- Sônia Elvira dos Santos Marinho, Dulciane Nunes Paiva, Guacyra Magalhães Pires Bezerra, Thayse Neves dos Santos Silva, Cláudia Regina Oliveira de Paiva Lima, Maria Cristina Falcão Raposo, Patrícia Érika de Melo Marinho, Does the use of a diving mask adapted for non-invasive ventilation in hypoxemic acute respiratory failure in individuals with and without COVID-19 increase the ratio of arterial oxygen partial pressure to fractional inspired oxygen? A randomized clinical trial , Monaldi Archives for Chest Disease: Vol. 94 No. 1 (2024)
- Malay Sarkar, Irappa Madabhavi, Nagaveni Kadakol, Oxygen-induced hypercapnia: physiological mechanisms and clinical implications , Monaldi Archives for Chest Disease: Vol. 93 No. 3 (2023)
- Fortuna Lubrano, Ilaria Fucile, Maurizio Conte, Ciro Santoro, Francesco Rozza, Nicola De Luca, Costantino Mancusi, Adherence to Mediterranean diet among patients with acute cardiovascular events admitted in Cardiac Rehabilitation unit , Monaldi Archives for Chest Disease: Vol. 93 No. 3 (2023)
<< < 18 19 20 21 22 23 24 25 26 27 > >>
You may also start an advanced similarity search for this article.
