Shakoor Amarah, Rahatullah Arsalan, Shah Adil Aijaz, Zubairi Ali Bin Sarwar
Department of Medicine, Aga Khan University, Karachi, Sindh, Pakistan.
BMJ Case Rep. 2011 Sep 19;2011:bcr0820114597. doi: 10.1136/bcr.08.2011.4597.
Pulmonary talcosis is a rare but debilitating variant of pneumoconiosis often presenting with isolated non-specific symptoms of progressive exertional dyspnoea or cough. Occupational exposure to talc dust and intravenous drug abuse are well-recognised aetiological factors with only a few cases related to cosmetic talc exposure being reported to date. The authors report a case of a young woman in whom a mere 4 month ritual of inhaling cosmetic talcum powder led to full-blown pulmonary talcosis being diagnosed 10 years later. The importance of a taking a pertinent history relating to environmental exposures in all patients presenting with respiratory symptoms is re-established here.
肺滑石沉着病是尘肺病中一种罕见但使人衰弱的类型，常表现为进行性劳力性呼吸困难或咳嗽等孤立的非特异性症状。职业接触滑石粉尘和静脉药物滥用是公认的病因，迄今为止仅有少数与接触化妆品用滑石粉有关的病例报道。作者报告了一例年轻女性病例，该女性仅仅4个月的吸入化妆品用滑石粉习惯，在10年后导致了全面发展的肺滑石沉着病被诊断出来。本文再次强调了对于所有出现呼吸道症状的患者询问与环境暴露相关的恰当病史的重要性。
