Chalk-induced Lung Fibrosis — Case Report

Author:

Szász Zsuzsánna Ágnes12,Székely-Vass Enikő2,Horváth Gyopár2,Hozoi Mădălina2

Affiliation:

1. Department of Occupational Medicine , University of Medicine and Pharmacy , Tîrgu Mureș , Romania

2. Department of Occupational Medicine, Mureș County Hospital , Tîrgu Mureș , Romania

Abstract

Abstract Introduction: Our article underlines the importance of a good professional anamnesis, knowing all the chemical components with which the patient had been exposed to during her active life as a teacher. Case presentation: A 64-year-old female patient, teacher for 27 years, who had been retired for six years, presented cough with white phlegm and shortness of breath occurring during physical exertion, diffuse thoracic pain, and fatigue. Several lung functional tests were performed, which established the diagnosis of irreversible minor mixed ventilatory dysfunction. In order to establish the etiology of the patient’s symptoms, multiple clinical, laboratory, imaging, and functional investigations were performed including a chest radiograph, pulmonary functional testing, bronchial reversibility testing, a thoracic CT scan, fibrobronchoscopy, alveolar-capillary diffusion capacity measurement, otorhinolaryngology examination, thyroid ultrasound, as well as a cardiological consult. Finally, a positive diagnosis was established: bronchial hyperreactivity syndrome, chalk dust-induced diffuse pulmonary fibrosis. Conclusion: An essential part of clinical practice is a proper anamnesis, including detailed information on the professional history and exposure, as well as the composition of the dust/particles with which the patient had been in contact with.

Publisher

Walter de Gruyter GmbH

Reference14 articles.

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3. 3. Nikam KD, Hirkani MA. Effects of Chalk dust on Peak Expiratory Flow Rate in School Teachers. Int J Health Sci. 2013;2:407-409.

4. 4. Zhang YX, Yang ZH, Zhang QX, et al. Chemical compositions and effects on chemiluminescence of AMs in vitro of chalk dusts. Chinese Chemical Letters. 2015;26:157-159.

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Cited by 2 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Release and health outcomes of exposure to chalk particles in classrooms: a systematic literature review;International Journal of Environmental Health Research;2024-02-04

2. Pulmonary functions and associated risk factors among school teachers in a selected Nigerian population;International Journal of Occupational Safety and Ergonomics;2020-11-20

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