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SANDBLASTING OF SANDBLASTING OF JEANS AND SILICOSISJEANS AND SILICOSIS

Serdar Onat Serdar Onat **Refik ÜlküRefik Ülkü** Alper Avcı Alper Avcı** Cemal ÖzçelikCemal Özçelik**

**Department Of Thoracic Surgery, Dicle Department Of Thoracic Surgery, Dicle University Faculty Of Medicine, University Faculty Of Medicine,

Diyarbakır,TurkeyDiyarbakır,Turkey

22

• A 23 –yr- old man was admitted to A 23 –yr- old man was admitted to Thoracic Surgery Department for Thoracic Surgery Department for mediastinoscopy.mediastinoscopy.

• He had dyspnea and weaknessHe had dyspnea and weakness

• His fingers were cyanosisHis fingers were cyanosis

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• He had worked between 2001-2003 He had worked between 2001-2003 in different two workplaces of in different two workplaces of sandblasting of jeanssandblasting of jeans

• He had worked in İstanbulHe had worked in İstanbul

• There was no caution or measureThere was no caution or measure

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• There was no doctor in workplaceThere was no doctor in workplace

• A young man had been lost who had A young man had been lost who had worked in same place from same worked in same place from same village, because of respiratory village, because of respiratory insufficiency.insufficiency.

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• TA: 100/ 70 mm/Hg Pulse: TA: 100/ 70 mm/Hg Pulse: 106/minute 106/minute

• Fewer:37 CFewer:37 C

• Hbg: 10.6, WBC:8.67 Hbg: 10.6, WBC:8.67

• Arterial blood gas values: (Fio2:%21):Arterial blood gas values: (Fio2:%21):

• So2:82 PO2: 54 Co2:38 pH :7.41So2:82 PO2: 54 Co2:38 pH :7.41

• PFT:FEV1:(1.95)%54, FVC: (1.95)%45PFT:FEV1:(1.95)%54, FVC: (1.95)%45

66

• He had misdiagnosed as Reynoud He had misdiagnosed as Reynoud and calcium channel blockers had and calcium channel blockers had been givenbeen given

• Tuberculosis treatment had been Tuberculosis treatment had been given without any bacteriologic proofgiven without any bacteriologic proof

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P-A:Bilateral reticulonodular infiltratesP-A:Bilateral reticulonodular infiltrates

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CT:Paratracheal,hiler, CT:Paratracheal,hiler, subcarinal lymphadenopathysubcarinal lymphadenopathy

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1010

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İntense micronodulesİntense micronodules

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1313

1414

1515

1616

1717

MEDİASTİNOSCOPY:Collection of MEDİASTİNOSCOPY:Collection of Intense pigment, mikst reactive Intense pigment, mikst reactive hyperplasiahyperplasia

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1919

VATS:Alveolar thickened and hemorrhageVATS:Alveolar thickened and hemorrhage

2020

2121

• Profikaksi of İNH was given.Profikaksi of İNH was given.

• Stopped smokingStopped smoking

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