Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Silico-Asbestosis that Responded to Steroid Therapy
Sakuo Hoshi, Yotaro Tamai, Atsushi Tamura, Hirofumi Ishida, Nozomi Yoshida, Chuhei Ogawa, Naoto Suzuki, Yasuyuki Sano, Yoshinori Kawabata
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Keywords: mixed dust pneumoconiosis, dust exposure, subacute exacerbation, silico-asbestosis, steroid therapy
JOURNAL OPEN ACCESS

2006 Volume 45 Issue 15 Pages 917-921

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Abstract

A 73-year-old man with silico-asbestosis responded to steroid therapy. Chest CT scans showed diffuse micronodular opacities and ground glass opacities bilaterally throughout the entire lung fields, as well as progressive massive fibrosis in the bilateral upper lung fields. Diagnostic thoracoscopic biopsy revealed mixed dust pneumoconiosis with silicotic nodules, as well as fibrosis similar to that of Usual Interstitial Pneumonia (UIP) with many fibroblastic foci and alveolitis. Many asbestos bodies were also detected by iron staining.

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© 2006 by The Japanese Society of Internal Medicine
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