Document Detail


A rich and blessed professional illness - organizing pneumonia due to gold dust.
MedLine Citation:
PMID:  21549666     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
A 47-year-old man, restorer of religious art, presents a three week history of asthenia, myalgia, dry cough and fever, coinciding with recent, unprotected exposure, to golden dust. He had fever, crackles in lung bases, hypoxemia and elevation of inflammatory markers. Imaging studies showed areas of parenchymal consolidation with air bronchograms in posterior-basal regions of both lungs, suggesting a pneumonic process. Lung function tests: mild restrictive pattern. Bronchoalveolar lavage: lymphocytosis with low CD4/CD8 ratio. Lung biopsy: intraalveolar pneumonia with exsudative process and organization. Treatment with Prednisolone 40mg id was started with excellent response. First month follow-up CT scan showed areas of ground glass suggesting residual pneumonitis, and he resumed normal activities with excellent exercise tolerance, under appropriate protection measures.
Authors:
P A Ribeiro; F Girão; P Henriques
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-4-14
Journal Detail:
Title:  Revista portuguesa de pneumologia     Volume:  -     ISSN:  0873-2159     ISO Abbreviation:  -     Publication Date:  2011 Apr 
Date Detail:
Created Date:  2011-5-9     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9813736     Medline TA:  Rev Port Pneumol     Country:  -    
Other Details:
Languages:  ENG; POR     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2010 Sociedade Portuguesa de Pneumologia. Published by Elsevier España. All rights reserved.
Affiliation:
Serviço de Medicina Interna 1, Hospital de São Teotónio E.P.E., Viseu, Portugal.
Vernacular Title:
Uma doença profissional valiosa e abençoada - pneumonia organizativa devido a poeira de ouro.
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