Early signs of pneumoconiosis in a dental technician in Italy: a case report

Abstract Background Dental technicians are at high risk of pneumoconiosis, usually driven by inhalation of mixed dusts, including metals. An etiological diagnosis is not easy to be performed, particularly in advanced stages. Case presentation We describe the case of an early pneumoconiosis occurring...

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Autores principales: Mara Maria Tiraboschi, Emma Sala, Matteo Ferroni, Andrea Tironi, Andrea Borghesi, Maria Enrica Gilberti, Paolo Ceruti, Emanuele Sansone, Giuseppe De Palma
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Publicado: BMC 2021
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Acceso en línea:https://doaj.org/article/b884e62c55d44cc38756ffbe876eb8b6
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spelling oai:doaj.org-article:b884e62c55d44cc38756ffbe876eb8b62021-11-14T12:37:20ZEarly signs of pneumoconiosis in a dental technician in Italy: a case report10.1186/s12890-021-01721-11471-2466https://doaj.org/article/b884e62c55d44cc38756ffbe876eb8b62021-11-01T00:00:00Zhttps://doi.org/10.1186/s12890-021-01721-1https://doaj.org/toc/1471-2466Abstract Background Dental technicians are at high risk of pneumoconiosis, usually driven by inhalation of mixed dusts, including metals. An etiological diagnosis is not easy to be performed, particularly in advanced stages. Case presentation We describe the case of an early pneumoconiosis occurring in a 47-year-old dental technician who developed respiratory symptoms shortly after beginning work. She described the work environment as dusty and lacking relevant primary prevention tools. A chest CT showed multiple peripheral pseudonodular lesions in both lower lobes; bronchoalveolar lavage and bronchial aspirate evidenced numerous macrophages with reflective metal bodies included into the cytoplasm, that at scanning electron microscopy coupled to Energy Dispersive X-Ray Analysis resulted Zirconium and Aluminum, whereas Tungsten (W) was localized outside cells. End of shift urinary concentrations of W were substantially raised as compared to pre-shift (1.1 vs. 0.2 µg/L). Conclusions We concluded for diagnosis of early work-related pneumoconiosis due to abnormal occupational exposure to metals. The case demonstrates the need also for dental professionals to comply with industrial hygiene standards and to be monitored by occupational health physicians.Mara Maria TiraboschiEmma SalaMatteo FerroniAndrea TironiAndrea BorghesiMaria Enrica GilbertiPaolo CerutiEmanuele SansoneGiuseppe De PalmaBMCarticleDental technicianMetalsPneumoconiosisOccupational diseaseCase reportDiseases of the respiratory systemRC705-779ENBMC Pulmonary Medicine, Vol 21, Iss 1, Pp 1-4 (2021)
institution DOAJ
collection DOAJ
language EN
topic Dental technician
Metals
Pneumoconiosis
Occupational disease
Case report
Diseases of the respiratory system
RC705-779
spellingShingle Dental technician
Metals
Pneumoconiosis
Occupational disease
Case report
Diseases of the respiratory system
RC705-779
Mara Maria Tiraboschi
Emma Sala
Matteo Ferroni
Andrea Tironi
Andrea Borghesi
Maria Enrica Gilberti
Paolo Ceruti
Emanuele Sansone
Giuseppe De Palma
Early signs of pneumoconiosis in a dental technician in Italy: a case report
description Abstract Background Dental technicians are at high risk of pneumoconiosis, usually driven by inhalation of mixed dusts, including metals. An etiological diagnosis is not easy to be performed, particularly in advanced stages. Case presentation We describe the case of an early pneumoconiosis occurring in a 47-year-old dental technician who developed respiratory symptoms shortly after beginning work. She described the work environment as dusty and lacking relevant primary prevention tools. A chest CT showed multiple peripheral pseudonodular lesions in both lower lobes; bronchoalveolar lavage and bronchial aspirate evidenced numerous macrophages with reflective metal bodies included into the cytoplasm, that at scanning electron microscopy coupled to Energy Dispersive X-Ray Analysis resulted Zirconium and Aluminum, whereas Tungsten (W) was localized outside cells. End of shift urinary concentrations of W were substantially raised as compared to pre-shift (1.1 vs. 0.2 µg/L). Conclusions We concluded for diagnosis of early work-related pneumoconiosis due to abnormal occupational exposure to metals. The case demonstrates the need also for dental professionals to comply with industrial hygiene standards and to be monitored by occupational health physicians.
format article
author Mara Maria Tiraboschi
Emma Sala
Matteo Ferroni
Andrea Tironi
Andrea Borghesi
Maria Enrica Gilberti
Paolo Ceruti
Emanuele Sansone
Giuseppe De Palma
author_facet Mara Maria Tiraboschi
Emma Sala
Matteo Ferroni
Andrea Tironi
Andrea Borghesi
Maria Enrica Gilberti
Paolo Ceruti
Emanuele Sansone
Giuseppe De Palma
author_sort Mara Maria Tiraboschi
title Early signs of pneumoconiosis in a dental technician in Italy: a case report
title_short Early signs of pneumoconiosis in a dental technician in Italy: a case report
title_full Early signs of pneumoconiosis in a dental technician in Italy: a case report
title_fullStr Early signs of pneumoconiosis in a dental technician in Italy: a case report
title_full_unstemmed Early signs of pneumoconiosis in a dental technician in Italy: a case report
title_sort early signs of pneumoconiosis in a dental technician in italy: a case report
publisher BMC
publishDate 2021
url https://doaj.org/article/b884e62c55d44cc38756ffbe876eb8b6
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