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Document ID (ISN)111929
CIS number 11-0524
ISSN - Serial title 0271-3586 - American Journal of Industrial Medicine
Year 2011
Convention or series no.
Author(s) Crowley L.E., Herbert R., Moline J.M., Wallenstein S., Shukla G., Schechter C., Skloot G.S., Udasin I., Ludt B.J., Harrison D., Shapiro M., Wong K., Sacks H.S., Landrigan P.J., Teirstein A.S.
Title "Sarcoid like" granulomatous pulmonary disease in World Trade Center disaster responders
Bibliographic information 2011, Vol.54, p.175-184. Illus. 34 ref.
Abstract More than 20,000 responders have been examined through the World Trade Center (WTC) Medical Monitoring and Treatment Programme since September 11, 2001. Studies on WTC firefighters have shown elevated rates of sarcoidosis. The main objective of this study was to report the incidence of "sarcoid like" granulomatous pulmonary disease in other WTC responders. Cases of sarcoid like granulomatous pulmonary disease were identified by: patient self-report, physician report and ICD-9 codes. Each case was evaluated by three pulmonologists using the ACCESS criteria and only definite cases are reported. Thirty-eight patients were classified as definite cases. Six-year incidence was 192/100,000. The peak annual incidence of 54 per 100,000 person-years occurred between 9/11/2003 and 9/11/2004. Incidence in black responders was nearly double that of white responders. Low FVC was the most common spirometric abnormality. While the incidence of granulomatous pulmonary disease among the WTC responders is lower than that reported among firefighters, it is higher than expected.
Descriptors (primary) USA; sarcomas; pulmonary granulomatosis; emergency organization; disasters
Descriptors (secondary) diagnosis; spirometry; long-term study; medical supervision; race-linked differences; frequency rates
Document type D - Periodical articles
Subject(s) Occupational pathology
Toxic and dangerous substances
Broad subject area(s) Occupational medicine, epidemiology
Browse category(ies) Pneumoconioses