Gräsel B, Kaya A, Stahl U, Rauber K, Kuntz C
Klinik für Allgemeine, Viszerale und Onkologische Chirurgie, Klinikum Wetzlar-Braunfels, Forsthausstrasse 1-3, 35578, Wetzlar, Deutschland.
Chirurg. 2008 Jun;79(6):584-8. doi: 10.1007/s00104-008-1515-9.
Erionite is a zeolite mineral of volcanic origin which contains no asbestos. It is found in different regions of the world, including southeast Turkey in ash and dust, from which it can cause inflammatory pleural plaques or malignant pleural mesothelioma (MPM). We report a female Turkish migrant exposed to urban pollution in her home country who decades later suffered from pleural plaques with a nonspecific chronic inflammatory disease. The differential diagnosis of inflammatory pleural plaques was assumed radiologically and confirmed by video-assisted thoracoscopic biopsy. Short-term clinical and radiologic control of the patient will be necessary because of the risk of MPM. For epidemiologic considerations discussed referring to current literature, a growing incidence of this type of disease in migrants from high-risk areas must be reckoned with in Germany, even without exposition to asbestos.
毛沸石是一种火山源的沸石矿物,不含石棉。它在世界不同地区都有发现,包括土耳其东南部的灰烬和灰尘中,接触这种物质会引发炎症性胸膜斑或恶性胸膜间皮瘤(MPM)。我们报告了一名土耳其女性移民,她在本国接触过城市污染,几十年后患上了伴有非特异性慢性炎症疾病的胸膜斑。炎症性胸膜斑的鉴别诊断通过影像学检查初步判断,并经电视辅助胸腔镜活检得以确诊。鉴于存在患MPM的风险,对该患者进行短期临床和影像学监测很有必要。出于流行病学考虑并参考当前文献,在德国,即使没有接触石棉,来自高风险地区的移民中这类疾病的发病率也在不断上升。