Friday 21 September 2012

Coal-worker's pneumoconiosis

Coal-worker's pneumoconiosis
  • Patients may qualify for industrial injuries benefit

Aetiology
  • Deposition of dust particles in small airways

Clinical features
  • Breathlessness
  • Cough +/- black sputum

Investigations
  • Chest X-ray - Fine micronodular shadowing
  • Spirometry - Mixed restrictive and obstructive pattern with reduced gas transfer

Complications
  • Progressive massive fibrosis
    • Large round masses in upper lobes +/- necrotic centres
    • May be associated with rheumatoid factor and antinuclear factor
    • Respiratory failure

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