Abstract:
CONTEXT:A definite cause of sarcoidosis has not been identified, however past research suggests that environmental factors may be triggers of the granulomatous response in genetically susceptible individuals. CASE PRESENTATION:A 22-year-old male non-smoker, presented with progressive exertional dyspnea and cough of 3 months duration. One year before, when he started working in tunnel excavation, he had a normal chest radiograph. Chest imaging revealed bilateral nodules and masses of peribronchovascular distribution plus mediastinal lymphadenomegaly. Histologic lymph node analysis revealed non-caseating confluent granulomas. Sarcoidosis was diagnosed. The patient was treated with corticosteroids and advised to change jobs. Complete remission of the disease was achieved and persisted for at least one year without steroid treatment. DISCUSSION:Sarcoidosis is believed to have environmental triggers. The timing of the onset of sarcoidosis in this patient following intensive exposure to tunnel dust suggests an environmental contribution. The recognition that sarcoidosis may have occupational triggers have medical, employment, and legal implications.
journal_name
Am J Ind Medjournal_title
American journal of industrial medicineauthors
Kawano-Dourado LB,Carvalho CR,Santos UP,Canzian M,Coletta EN,Pereira CA,Kairalla RAdoi
10.1002/ajim.21030subject
Has Abstractpub_date
2012-04-01 00:00:00pages
390-4issue
4eissn
0271-3586issn
1097-0274journal_volume
55pub_type
杂志文章abstract:BACKGROUND:An investigation of a small private agate mill was prompted by an agate worker who presented with silicosis in Guangzhou, China, in December 1998. METHODS:The work processes and records of dust measurements of the mill were examined. The mean total dust concentrations ranged from 3.0 to 9.9 mg/m3; 86-88% of...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.1074
更新日期:2001-07-01 00:00:00
abstract::A study of 67 subjects in a small titanium oxide paint factory in Nigeria showed 50-54% frequency for airway symptoms, 20-40% for neurological symptoms, and 10-27% for other symptoms. The symptoms were well correlated with exposure (p less than .05) and pulmonary function tests (PFTs). The directly exposed subjects ha...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.4700120206
更新日期:1987-01-01 00:00:00
abstract:BACKGROUND:Pulmonary tuberculosis and HIV incidence, mortality, and the progression of silicosis and lung function impairment are described over a 1-year period in migrant ex-gold miners from Lesotho. METHODS:Seven hundred seventy-nine Basotho miners were followed for 1 year starting 18 months after lay-off from a Sou...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.20767
更新日期:2009-12-01 00:00:00
abstract::In an epidemiologic study of 6,359 oil shale workers, 1,664 (46.7%) of 3,566 survivors were investigated. No excess of skin disease (as reported in response to a questionnaire) was found in men exposed to oil or dust, whether compared to men who were not exposed to oil or dust or to coalminers. A low prevalence of sim...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.4700090503
更新日期:1986-01-01 00:00:00
abstract::An epidemiological investigation was undertaken to determine the relationship between silicosis in hardrock miners in Ontario and cumulative exposure to silica (crystalline silica--alpha quartz) dust. This first report describes the cohort, the method of classifying the radiographs, and the identification of a case of...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.4700160103
更新日期:1989-01-01 00:00:00
abstract:BACKGROUND:Harvesting of blueberries is associated with musculoskeletal injury. This study assessed the effects of several alternative designs of the harvesting rake. METHODS:A community-based work team selected rake design for intervention and pilot tested potential design modifications to the blueberry harvesting ra...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.20554
更新日期:2008-04-01 00:00:00
abstract:BACKGROUND:Retrospective exposure assessment of occupational lead exposure in population-based studies requires historical exposure information from many occupations and industries. METHODS:We reviewed published US exposure monitoring studies to identify lead measurement data. We developed an occupational lead exposur...
journal_title:American journal of industrial medicine
pub_type: 杂志文章,评审
doi:10.1002/ajim.22448
更新日期:2015-06-01 00:00:00
abstract:BACKGROUND:Experimental long-term carcinogenicity bioassays conducted on rats and mice proved that ionizing radiation can induce a variety of tumor types. However few studies have been conducted on rats. METHODS:This report deals with the effects of γ-radiation in groups of 416-1,051 6-weeks old Sprague-Dawley rats ex...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.22391
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND:Epichlorohydrin (ECH) is a strong irritant of the eyes, respiratory tract, and skin. The aims of this study were to examine the dose-response relationship between observed abnormal pulmonary function tests and respiratory tract irritation symptoms among epichlorohydrin-exposed workers in Taiwan. METHODS:A t...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.10177
更新日期:2003-04-01 00:00:00
abstract:BACKGROUND:Respirable crystalline silica (RCS) can potentially cause silicosis, lung cancer, and renal failure. The current study estimates the percentages of workers potentially overexposed to concentrations of RCS dust and silicosis proportional mortality rates (PMRs) by industry. METHODS:Occupational Safety and Hea...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.23109
更新日期:2020-06-01 00:00:00
abstract:BACKGROUND:There are very few published studies evaluating the impact of safety and health training on injury outcomes in the construction industry. The aim of this study was to assess the impact of the training program on injury rates at a major railway construction project. METHODS:The population consisted of 2,795 ...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.20770
更新日期:2009-12-01 00:00:00
abstract:BACKGROUND:Occupational health problems among home-helpers have been reported in a series of studies, and the need for intervention has been pointed out. To facilitate decisions regarding interventions and to establish baseline values for future evaluation of preventive efforts, the present study aimed to elucidate the...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.10028
更新日期:2002-01-01 00:00:00
abstract::This study assesses the causes of medical surveillance changes leading to specialist referral from one isocyanate-using company where 39 workers (about 20% of all employees) were referred to a hospital occupational clinic during a 5-year period for concerns regarding their surveillance respiratory questionnaire or spi...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/(sici)1097-0274(199901)35:1<87::aid-ajim12
更新日期:1999-01-01 00:00:00
abstract:BACKGROUND:After cryptosporidiosis was reported in three workers caring for preweaned calves at an academic research laboratory, we sought to identify cases, determine risk factors, and implement control measures. METHODS:A cryptosporidiosis case was defined as diarrhea duration ≥72 hr, abdominal cramps, or vomiting i...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.22630
更新日期:2017-02-01 00:00:00
abstract::Chemically induced epidermal carcinogenesis is usually divided into two stages: initiation, which involves the conversion of some epidermal cells into latent neoplastic cells; and promotion, which results in tumors. The hallmark of chemical promoters is epidermal hyperplasia. The hyperplasia caused by a strong promote...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.4700080412
更新日期:1985-01-01 00:00:00
abstract:BACKGROUND:Silicosis is a progressive lung disease resulting from the inhalation of respirable crystalline silica. Lung transplantation is the only treatment for end-stage silicosis. The aim of this study was to analyze the survival experience following lung transplantation among patients with silicosis. METHODS:We re...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.22687
更新日期:2017-03-01 00:00:00
abstract::The etiology of retroperitoneal fibrosis is unknown in 70% of the cases. The aim of our study was to examine the possible association between occupational asbestos exposure and retroperitoneal fibrosis; only two cases have been reported in the literature. We gathered all the cases of retroperitoneal fibrosis diagnosed...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/(sici)1097-0274(199804)33:4<418::aid-ajim1
更新日期:1998-04-01 00:00:00
abstract::The mortality profile of female nurses and teachers in British Columbia (BC) was examined using age-standardized proportional mortality ratios (PMRs) calculated for the period 1950-1984. Lowered overall mortality among nurses was seen for degenerative heart disease and for cerebrovascular accidents. Significantly elev...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.4700260111
更新日期:1994-07-01 00:00:00
abstract:BACKGROUND:Hotel room cleaners have physically demanding jobs that place them at high risk for shoulder pain. Psychosocial work factors may also play a role in shoulder pain, but their independent role has not been studied in this group. METHODS:Seventy-four percent (941 of 1,276) of hotel room cleaners from five Las ...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.20832
更新日期:2010-07-01 00:00:00
abstract::In recent years, implementation of dust-suppressing measures in USSR asbestos mills has led to significant decrease in dust levels. New cases of asbestosis and asbestotuberculosis in annual medical examinations have not been detected. For prevention of possible future incidence of these diseases, we plan to concentrat...
journal_title:American journal of industrial medicine
pub_type: 杂志文章,评审
doi:10.1002/ajim.4700180111
更新日期:1990-01-01 00:00:00
abstract:BACKGROUND:The roles of age, length of service and job in various work-related injury types are unknown and deserve investigations among female workers. This study assessed their roles in the occurrence of injury. METHODS:Three-year prospective study of all 22,952 permanently employed women at the French national rail...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.22259
更新日期:2014-02-01 00:00:00
abstract:INTRODUCTION:Live-in formal caregivers spend consecutive days in patients' homes, raising questions about their ability to secure adequate sleep while on duty. Few studies have examined sleeping conditions and outcomes for this growing workforce. METHODS:We collected weeklong sleep logs and interview data from 32 Fili...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.22647
更新日期:2016-12-01 00:00:00
abstract:BACKGROUND:This study documented the burden of nonfatal construction industry work-related injuries treated in hospital emergency departments in the United States (US) from 1998 through 2005 and described injured worker demographics and injury characteristics. METHODS:Data from the National Electronic Injury Surveilla...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.20829
更新日期:2010-06-01 00:00:00
abstract::Combined data sources, including union administrative records and workers' compensation claims, were used to construct event histories for a dynamic cohort of union carpenters from Washington State during the period 1989-1992. Person-time at risk and the events of interest were stratified by age, sex, time in the unio...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/(sici)1097-0274(199712)32:6<629::aid-ajim9
更新日期:1997-12-01 00:00:00
abstract::In order to estimate rates and identify risk factors for assaults on employees of a state psychiatric hospital, we examined workers' compensation claims, hospital-recorded incident reports, and data collected in a survey of ward staff. Results revealed 13.8 workers' compensation claims due to assault per 100 employees...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/(sici)1097-0274(199701)31:1<92::aid-ajim14
更新日期:1997-01-01 00:00:00
abstract:BACKGROUND:In this study, we describe the methodology used for historical estimation of exposure to fluoride and to PAH in vertical stud Søderberg (VSS) potrooms at two Norwegian aluminum smelters. The assessment was performed in order to develop exposure data for epidemiological studies of cause-specific mortality and...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/(sici)1097-0274(199902)35:2<164::aid-ajim8
更新日期:1999-02-01 00:00:00
abstract:BACKGROUND:The community of Libby, Montana has recently been the focus of national attention secondary to widespread amphibole contamination associated with vermiculite mining and processing. METHODS:Patients who had occupational and non-occupational exposure to amphibole asbestos in Libby, Montana were evaluated for ...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.20053
更新日期:2004-09-01 00:00:00
abstract::Exposure to grain dust has been associated with a neutrophilic bronchitis. In vitro studies suggest several possible mechanisms for recruitment of neutrophils, including direct chemotaxis to aqueous grain dust extracts and release of chemotactic activity by bronchial epithelial cells in response to challenge with grai...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.4700250122
更新日期:1994-01-01 00:00:00
abstract:BACKGROUND:The amount of information about hazardous agents in the workplace exceeds the capacity of human memory. There is a need to accurately represent or map this scientific knowledge for digital storage and retrieval. METHODS:A relational database of hazardous chemicals and occupational diseases was constructed b...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.20578
更新日期:2008-06-01 00:00:00
abstract:BACKGROUND:Construction industry workers are exposed to many hazards leading to fatal and nonfatal injuries. Information for nonfatal work-related injury surveillance may be vague and come from a variety of sources. METHODS:The Alaska Trauma Registry (ATR) is used as an injury surveillance tool to focus on hospitalize...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.20158
更新日期:2005-05-01 00:00:00