Uibu Toomas, Jäntti Matti, Järvenpää Ritva, Oksa Panu, Tossavainen Antti, Vanhala Esa, Roto Pekka
Tampere University Hospital, Respiratory Medicine, PO Box 2000, 33521, Tampere, Finland.
BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.08.2008.0644. Epub 2009 Mar 6.
We describe a case history of a former insulator who developed concomitant retroperitoneal and pleural fibrosis. In his work, the patient had been exposed on a daily basis to asbestos dust while demolishing and installing pipeline insulations. The heavy asbestos exposure was confirmed by a high level of asbestos content in his autopsy lung sample. We propose that both retroperitoneal fibrosis and diffuse pleural thickening were induced in our patient by an abundant amount of amphibole asbestos fibres found in his lung and retroperitoneal tissues.
我们描述了一例曾从事绝缘工作的患者,其同时发生了腹膜后和胸膜纤维化。该患者在工作中,每天在拆除和安装管道绝缘材料时接触石棉粉尘。尸检肺样本中高水平的石棉含量证实了其大量接触石棉。我们认为,在该患者的肺和腹膜后组织中发现的大量闪石石棉纤维导致了腹膜后纤维化和弥漫性胸膜增厚。