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Pulmonary Foreign Body Granulomatosis in Dental Technician

Tuberculosis & Respiratory Diseases / Tuberculosis & Respiratory Diseases,
2015, v.78 no.4, pp.445-449
정성준 (한양대학교)
김태형 (한양대학교)
구건우 (한양대학교)
박동원 (한양대학교)
곽현정 (한양대학교)
예지영 (한양대학교)
문지용 (한양대학교)
김상헌 (한양대학교)
손장원 (한양대학교)
윤호주 (한양대학교)
신동호 (한양대학교)
박성수 (한양대학교)
표주연 (한양대학교)
오영하 (한양대학교)
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Abstract

Occupational lung diseases are caused by several toxic substances including heavy metals; however, the exact pathologic mechanisms remain unknown. In the workplace, dental technicians are often exposed to heavy metals such as cobalt, nickel, or beryllium and occasionally develop occupational lung diseases. We described a case of occupational lung disease in a patient who was employed as a dental technician for over a decade. A 31-year-old, non-smoking woman presented with productive cough and shortness of breath of several weeks duration. Chest computed tomography revealed a large number of scattered, bilateral small pulmonary nodules throughout the lung field, and multiple mediastinal lymph nodes enlargement. Percutaneous needle biopsy showed multifocal small granulomas with foreign body type giant cells suggestive of heavy metals inhalation. The patient’s condition improved on simple avoidance strategy for several months. This case highlighted the importance of proper workplace safety.

keywords
Lung Disease, Dental Technicians

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Tuberculosis & Respiratory Diseases