Leikin Evgeny, Zickel-Shalom Karin, Balabir-Gurman Alexandra, Goralnik Luda, Valdovsky Evgeny
Occupational Health Department Maccabi Health Services, Haifa.
Harefuah. 2009 Aug;148(8):524-6, 572.
Rheumatoid pneumoconiosis is an uncommon combination of occupational lung disease caused by exposure to harmful silica dust with rheumatoid inflammation of the joints, rheumatoid arthritis, with an autoimmune background. Until now, the disease was observed mostly among coal and gold miners and granite workers. Written documents on the theme are summarized. This case study outlines the syndrome pathology with typical features presented by the worker, employed for many years in the marble industry. Although in general marble is free of silica, the collection of occupational anamnesis and familiarity with the patient's work conditions and demands gave the authors an opportunity to uncover the exposure source and to determine the most probable diagnosis.
类风湿性尘肺是一种罕见的职业性肺部疾病，由接触有害二氧化硅粉尘引发，同时伴有具有自身免疫背景的关节类风湿性炎症，即类风湿性关节炎。到目前为止，这种疾病大多在煤矿工人、金矿工人和花岗岩工人中被观察到。本文总结了关于该主题的书面文献。本案例研究概述了一名在大理石行业工作多年的工人所呈现出的具有典型特征的综合征病理。尽管一般来说大理石不含二氧化硅，但职业问诊以及对患者工作条件和需求的了解，让作者有机会找出暴露源并确定最有可能的诊断。
