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以肺部高密度结节为表现的铝尘肺

Aluminosis pneumoconiosis presenting as hyperdense lung nodules.

作者信息

Mantz Sara E, DeVries Matthew J

机构信息

University of Nebraska Medical Center, Omaha, NE, USA.

出版信息

Radiol Case Rep. 2024 Mar 22;19(6):2347-2350. doi: 10.1016/j.radcr.2024.02.107. eCollection 2024 Jun.

DOI:10.1016/j.radcr.2024.02.107
PMID:38532909
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10963895/
Abstract

We present the case of a 66-year-old man who presented with new incidentally found hyperdense pulmonary nodules. Further workup with a PET/CT revealed that the nodules were FDG-avid and that there was associated hypermetabolic lymphadenopathy. Due to his history of aluminum toxicity from welding, aluminosis pneumoconiosis was suspected. Biopsy of one of the nodules was done which reinforced this diagnosis. Aluminosis pneumoconiosis is a rare occupational lung disease mostly associated with industrial workers with prolonged unprotected exposure to fine aluminum dust. Prognosis depends on the duration and intensity of exposure, and there is no definitive treatment other than eliminating further exposure.

摘要

我们报告了一例66岁男性病例，该患者偶然发现新的肺部高密度结节。进一步的PET/CT检查显示，这些结节对氟代脱氧葡萄糖（FDG）摄取增加，并且伴有代谢亢进的淋巴结病。由于他有焊接导致铝中毒的病史，怀疑是铝尘肺。对其中一个结节进行了活检，这进一步证实了该诊断。铝尘肺是一种罕见的职业性肺病，主要与长期无防护地接触细铝粉尘的产业工人有关。预后取决于接触的持续时间和强度，除了避免进一步接触外，没有确切的治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8829/10963895/5fe202096e9d/gr9.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8829/10963895/93f56e251327/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8829/10963895/79c12e5268a6/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8829/10963895/6d55c7025bab/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8829/10963895/0f86c8916de7/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8829/10963895/02064bf99fe4/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8829/10963895/a1c40b75a395/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8829/10963895/5fe202096e9d/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8829/10963895/7902d02bea16/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8829/10963895/f93b9a555a79/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8829/10963895/93f56e251327/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8829/10963895/79c12e5268a6/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8829/10963895/6d55c7025bab/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8829/10963895/0f86c8916de7/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8829/10963895/02064bf99fe4/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8829/10963895/a1c40b75a395/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8829/10963895/5fe202096e9d/gr9.jpg

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本文引用的文献

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Clin Imaging. 2023 May;97:28-33. doi: 10.1016/j.clinimag.2023.02.010. Epub 2023 Feb 18.
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3
The etiology of occupational pulmonary aluminosis--the past and the present.
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4
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Ind Health. 2014;52(2):147-51. doi: 10.2486/indhealth.2012-0154. Epub 2014 Jan 15.
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Insights Imaging. 2010 Sep;1(4):287-292. doi: 10.1007/s13244-010-0039-2. Epub 2010 Sep 4.
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Consolidation with diffuse or focal high attenuation: computed tomography findings.伴有弥漫性或局灶性高衰减的实变：计算机断层扫描表现
J Thorac Imaging. 2008 Nov;23(4):298-304. doi: 10.1097/RTI.0b013e3181788d39.
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