酷似肺结核的牙科技师尘肺：一例报告

Dental technician pneumoconiosis mimicking pulmonary tuberculosis: a case report.

作者信息

Tan Han Loong, Faisal Mohamed, Soo Chun Ian, Ban Andrea Y L, Manap Roslina Abdul, Hassan Tidi M

机构信息

Respiratory Unit, Department of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latiff, Bandar Tun Razak, 56000, Cheras, Kuala Lumpur, Malaysia.

出版信息

BMC Pulm Med. 2016 Sep 7;16(1):131. doi: 10.1186/s12890-016-0293-2.

DOI:10.1186/s12890-016-0293-2

PMID:27604085

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5013628/

Abstract

BACKGROUND

Dental laboratory technicians are at risk of developing occupational respiratory diseases due to exposure to various potentially toxic substances in their working environment. Since 1939, few cases of silicosis among dental technician have been reported.

CASE PRESENTATION

We illustrate a 38 year-old female, who worked in a dental laboratory for 20 years, initially treated as pulmonary tuberculosis and chronic necrotising aspergillosis without much improvement. Computed tomography guided lung biopsy and bronchoscopic transbronchial lung biopsy were performed. Lung tissue biopsies showed presence of refractile dental materials within the areas of histiocyte proliferation. The diagnosis of dental technician pneumoconiosis was obtained and our patient underwent pulmonary rehabilitation.

CONCLUSIONS

This case highlights the importance of obtaining a detailed occupational history in tuberculosis endemic area, as pulmonary tuberculosis is a great mimicker of other respiratory diseases.

摘要