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Case Report
A Case of Complicated Silicosis with a Complex Clinical Course in a Glass Manufacturing Worker
Hee-Seok Yang, Jung-Il Kim, Byeong-Jin Ye, Tae-Jun Yoo, Sun-Woo Lee, Kap-Yeol Jung
Ann Occup Environ Med 2014;26:10-10.   Published online May 15, 2014
DOI: https://doi.org/10.1186/2052-4374-26-10
AbstractAbstract PDFPubReaderePub

We reported a case of complicated silicosis that occurred in a glass manufacturing plant worker who had presumably been exposed to low-concentration free silica for almost 20 years. To the best of our knowledge this report is the first in the Republic of Korea. The physician’s first impression was cancer since the enlargement of neck and supraclavicuar lymph nodes had clearly progressed and metastasis was suspected in ultrasonography. However, it turned out to be reactive hyperplasia and anthracosis. Although lung cancer was suspected and tests were performed in 2 hospitals due to repetitive cough and dyspnea, along with weight loss of approximately 10% over the course of 7 months, the patient was eventually diagnosed with complicated silicosis and pneumothorax occurred after 1 year. Herein, we report this case with a literature review.


Citations

Citations to this article as recorded by  
  • Silicosis: enlarged cervical lymph nodes, pericardial effusion and lung abnormalities
    H Li, M Cao, A Feng, H Cai
    Occupational Medicine.2022; 72(6): 415.     CrossRef
  • Impact of Working environment on Psychological Well-being in Male Baby boomers
    Min-Jeong Park, Hyeong-seon Kim
    Journal of Korean Public Health Nursing.2016; 30(1): 17.     CrossRef
  • The Relationship between Job Stress and Organizational Effectiveness for Office Workers
    Yoo-Mi Chae, Jeong-bae Rhie, Sook Lee
    Journal of the Korea Academia-Industrial cooperation Society.2016; 17(7): 389.     CrossRef
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Original Article
Health Hazards and Diagnostic Methods of Glass Fiber Workers
Hyun Sul Lim, Hae Kwan Jun, Soo Keun Kim, Jung Ran Kim
Korean Journal of Occupational and Environmental Medicine 1999;11(2):181-195.   Published online June 30, 1999
DOI: https://doi.org/10.35371/kjoem.1999.11.2.181
AbstractAbstract PDF
This study was conducted to evaluate the health hazards and to develop diagnostic methods of glass fiber workers. We examined 40 male glass fiber workers (exposure group) and 57 male non-glass fiber workers (reference group) with a questionnaire, physical examination, chest x-ray and pathological examination in Mar, 1997. Also we examined 65 male glass fiber workers (exposure group) and 42 male non-glass fiber workers (reference group) with the same methods also we did some energy-dispersive x-ray analyses with a scanning electron microscopic examination in Sep. 1997. Most of the clinical symptoms were significantly more frequent among the exposure group than the reference group. Coughing (32.5%), itching of the nose (30.0%), irritation of eyes (27.5%), irritation of the nose (25.0%) and sputum (22.5%) were the major symptoms among the exposure group in Mar. 1997. Only itching of the nose was significantly more frequent in Sep. 1997. No cases of pneumoconiosis were observed among the groups and there were no differences in chest abnormalities between the exposure group with the reference group on both examinations. The prevalence of dermatosis among the exposure group was 20.0% (8 cases) and the cumulative prevalence was 72.5% (29 cases) in Mar. 1997. The prevalence of dermatosis among the exposure group was 23.1% (15 cases) and the cumulative prevalence was 58.5% (38 cases) in Sep. 1997. Onset of dermatosis among the exposure group was most frequent within one month after handling. The frequent sites of skin lesions were the hands and arms on both examinations. Glass fiber induced skin lesions can be diagnosed by the scotch tape method or KOH mount and then can be examined under the light, polarizing and phase-contrast microcopies. Glass fibers can be identified by some energy-dispersive x-ray analyses with a scanning electron microscopic examination.

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