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Dkm Dumanna ve Uucu Organik Bileiklere Maruz Kalm ile likili Olabilecek Pulmoner Kapiller Hemanjiomatozis Olgusu [Respir Case Rep]
Respir Case Rep. 2020; 9(3): 108-111 | DOI: 10.5505/respircase.2020.70894

Dkm Dumanna ve Uucu Organik Bileiklere Maruz Kalm ile likili Olabilecek Pulmoner Kapiller Hemanjiomatozis Olgusu

Ayse Coskun Beyan1, Arif Cimrin1, Duygu Grel2
1Dokuz Eyll niversitesi, ve Meslek Hastalklar Bilim Dal, zmir
2Dokuz Eyll niversitesi, Patoloji Ana Bilim Dal, zmir

Pulmoner kapiller hemanjiomatozis (PKH) nadir grlen, ilerleyici ve ounlukla pulmoner hipertansiyon ile birlikte bulunan akcierlerin vaskler bir hastaldr. Hastalkla ilikili mesleksel risk faktrleri ile ilgili aratrma azdr. Ayn iletmeden bavuran 8 olgunun 3 nde benzer radyolojik bulgulara rastland, olgularn yalnzca bir tanesi akcier biopsisini kabul etti. Krk yanda erkek olgunun herhangi bir yaknmas yoktu. Bilgisayarl tomografide her iki akcierde orta derecede peribroniyal kalnlama ve alt blgelerde mozaik perfzyon paterni izlendi. Kardiyak deerlendirmede sa kalp yetmezlii saptanmad. Akcier biopsisinde alveolar septada kapiller benzeri vaskler proliferasyon grnm izlendi. Ayn iletmeden benzer 3 radyolojik bulgu olmas ve literatr bulgular eliinde mesleksel maruz kalm ile ilikili PKH olgusu olabilecei dnld. PKH etiyolojisi halen bilinmeyen bir hastalktr. Mesleki maruziyetler PKH iin potansiyel bir risk faktr olarak bildirilmektedir. Herhangi bir hastalk iin bilinen klasik epidemiyolojik zelliklerin karlanmad durumlarda mesleki etiyolojinin deerlendirilmesi unutulmamaldr.

Anahtar Kelimeler: Dkm, meslek hastal, dkm duman, uucu organik bileikler

A Case of Pulmonary Capillary Hemangiomatosis in a Worker with Exposure to Foundry Dust and VOCs

Ayse Coskun Beyan1, Arif Cimrin1, Duygu Grel2
1Dokuz Eylul University, Occupational Medicine Department, zmir
2Dokuz Eylul University, Pathology Department, zmir

Pulmonary capillary hemangiomatosis (PCH) is a rare and progressive vascular disease of the lung that causes pulmonary hypertension, as they frequently overlap. The occupational risk factor associated with PCH is rarely discussed. In the present report, three of the eight patients admitted from the same company had similar radiological findings, and one agreed to undergo a biopsy. A 40-year-old male who was working as a foundry worker with no symptoms underwent CT, which showed moderate peribronchial thickening in both lungs and a mosaic perfusion pattern in the lower zones. There was no evidence of right heart failure. A microscopic examination of the lung by thoracoscopic resection showed capillary-like vascular proliferation in the alveolar septa. As there were workers with similar radiological findings from the same company he was diagnosed with occupational PCH. The etiology of PCH remains unknown. Occupational exposure should be kept in mind if a disease does not meet the classic epidemiological characteristics.

Keywords: Foundry, Occupational disease, foundry dust, VOC

Ayse Coskun Beyan, Arif Cimrin, Duygu Grel. A Case of Pulmonary Capillary Hemangiomatosis in a Worker with Exposure to Foundry Dust and VOCs. Respir Case Rep. 2020; 9(3): 108-111

Sorumlu Yazar: Ayse Coskun Beyan, Trkiye
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