Silicosis-related pleural effusion diagnosed using elemental analysis of the pleural fluid cell block: A case report

被引：3

作者：

Okamoto, Shouichi ^{[1
,2
,3
,4
]}

Kobayashi, Isao ^{[1
,2
]}

Moriyama, Hiroshi ^{[5
]}

Tanimura, Mayuka ^{[3
]}

Kadoya, Kotaro ^{[1
,2
,3
]}

Ienaga, Hiroki ^{[3
]}

Kikuchi, Toshiaki ^{[6
]}

Takahashi, Kazuhisa ^{[1
,2
]}

机构：

[1] Juntendo Univ, Div Resp Med, Fac Med, Bunkyo Ku, 2-1-1 Hongo, Tokyo 1138421, Japan

[2] Juntendo Univ, Div Resp Med, Grad Sch Med, Bunkyo Ku, 2-1-1 Hongo, Tokyo 1138421, Japan

[3] Koshigaya Municipal Hosp, Dept Resp Med, 10-32 Higashikoshigaya, Koshigaya, Saitama 3438577, Japan

[4] Saiseikai Ibaraki Hosp, Dept Resp Med, 2-1-45 Mitsukeyama, Ibaraki, Osaka 5670035, Japan

[5] NishiNiigata Chuo Hosp, Dept Resp Med, Nishi Ku, 1-14-1 Masago, Niigata, Niigata 9502085, Japan

[6] Niigata Univ, Dept Resp Med & Infect Dis, Grad Sch Med & Dent Sci, Chuo Ku, 757-1 Asahimachi Dori, Niigata 9518520, Japan

来源：

RESPIRATORY MEDICINE CASE REPORTS | 2022年 / 37卷

关键词：

Cell block; Elemental analysis; Pleural effusion; Silica; Silicosis; PULMONARY-FIBROSIS; EXPOSURE; CYTOLOGY; DISEASE;

D O I：

10.1016/j.rmcr.2022.101665

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

Pleural disease in silicosis remains an underrecognized entity. Herein, we describe the case of an 85-year-old man with a 20-year history of silica exposure between the ages of 9-28 years. He presented with bilateral exudative pleural effusions, and chest computed tomography revealed typical silicosis findings. Thoracentesis was performed thrice, but did not reveal the cause of effusion. However, pleural fluid cell-block elemental analysis revealed a silicon compound, suggesting that silicosis-related pleural effusion had developed after a long latency period. Therefore, elemental analysis of the pleural fluid cell block may help diagnose occupational lung diseases with pleural effusion.

引用

页数：6

共 20 条

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