Feary Johanna, Devaraj Anand, Burton Matthew, Chua Felix, Coker Robina K, Datta Arnab, Hewitt Richard J, Kokosi Maria, Kouranos Vaslis, Reynolds Carl Jonathan, Ross Clare L, Smith Veronica, Ward Katie, Wickremasinghe Melissa, Szram Joanna
National Heart and Lung Institute, Imperial College, London, UK
Department of Occupational Lung Disease, Royal Brompton Hospital, London, UK.
Thorax. 2024 Sep 18;79(10):979-981. doi: 10.1136/thorax-2024-221715.
Silicosis due to artificial stone (AS) has emerged over the last decade as an increasing global issue. We report the first eight UK cases. All were men; median age was 34 years (range 27-56) and median stone dust exposure was 12.5 years (range 4-40) but in 4 cases was 4-8 years. One is deceased; two were referred for lung transplant assessment. All cases were dry cutting and polishing AS worktops with inadequate safety measures. Clinical features of silicosis can closely mimic sarcoidosis. UK cases are likely to increase, with urgent action needed to identify cases and enforce regulations.
过去十年间，人造石导致的矽肺病已成为一个日益严重的全球性问题。我们报告了英国首例8例此类病例。患者均为男性；年龄中位数为34岁（范围27 - 56岁），接触人造石粉尘的时间中位数为12.5年（范围4 - 40年），但其中4例为4 - 8年。1例已死亡；2例被转介进行肺移植评估。所有病例均在安全措施不足的情况下对人造石台面进行干切和打磨。矽肺病的临床特征可能与结节病极为相似。英国此类病例可能会增加，需要采取紧急行动来识别病例并执行相关规定。
