| Document ID (ISN) | 103089 |
| CIS number |
04-83 |
| ISSN - Serial title |
0304-4602 - Annals of the Academy of Medicine - Singapore |
| Year |
2000 |
| Convention or series no. |
|
| Author(s) |
Tan K.L, Lee H.S., Poh W.T., Ren M.Q., Watt F., Tang S.M., Eng P. |
| Title |
Hard metal lung disease - The first case in Singapore |
| Bibliographic information |
July 2000, Vol.29, No.4, p.521-527. Illus. 26 ref. |
| Abstract |
A 38-year-old machinist in a tool manufacturing enterprise presented with exertional dyspnoea and cough. Chest X-rays revealed bilateral reticulonodular infiltrates with honeycombing. High-resolution computed tomography scan of the thorax confirmed the presence of interstitial fibrosis. Open biopsy of the lung showed features of pneumoconiosis. Particle induced X-ray emission (PIXE) analysis, a relatively new elemental analysis technique, performed on the lung biopsy specimen confirmed the presence of tungsten and titanium, leading to a diagnosis of hard metal pneumoconiosis. Microbiologic, serologic and histological investigations excluded infective causes. Preventive measures and permanent transfer to work not involving hard metal exposure were instituted. |
| Descriptors (primary) |
Singapore; metalworking industry; hard metal pneumoconiosis |
| Descriptors (secondary) |
case study; tungsten; prognosis; dyspnoea; pulmonary fibrosis; change of employment; lung biopsy; limitation of exposure; titanium; chromium; chest radiography; tomography; diagnosis |
| Document type |
D - Periodical articles |
| Country / State or Province | Singapore |
| Subject(s) |
Metal production and metalworking
|
| Broad subject area(s) |
Chemical safety
Occupational medicine, epidemiology
|
| Browse category(ies) |
Pneumoconioses
Metalworking industry
|
