Pulmoner Tromboembolinin Eşlik Ettiği Pnömokonyoz Olgusu

Öz

Pnömokonyozlar, akciğerlerde toz birikimi ve bunun sonucu oluşan doku reaksiyonu ile meydana gelen parankimal akciğer hastalıklarıdır. 75 yaşında erkek hasta 6 aydır devam eden çabuk yorulma ve nefes darlığı şikayeti ile başvurdu. Meslek öyküsünde, 18 yaşındayken 4 ay kurşun madeninde dinamit ile patlatma işi yaptığı, sonrasında 3 ay boyunca tünel ve yol yapımında patlatma, kum eleme ve taşıma işinde çalıştığı öğrenildi. Pnömokonyoz radyografilerinin International Labour Organization (ILO) Uluslararası Sınıflandırması’na göre akciğer radyografisi r/q 2/2 + A2 idi. Özgeçmişinde 1982 yılında hastanemize kanlı balgam şikayetiyle başvurduğu, tüberküloz ve malignite açısından açık akciğer biyopsisi yapıldığı ve biyopsinin fibrotik akciğer dokusu olarak raporlandığı öğrenildi. Bilateral plevral efüzyon ile prezente olan, pulmoner tromboembolinin eşlik ettiği bir pnömokonyoz olgusunu sunduk.

Anahtar Kelimeler

• emboli
• pnömokonyoz
• tüberküloz

Pneumoconiosis Accompanied By Pulmonary Thromboembolism: Case Report

Öz

Pneumoconioses are parenchymal lung diseases caused by dust accumulation in the lungs and the resulting tissue reaction. A 75-year-old male patient presented with the complaints of fatigue and shortness of breath for 6 months. In his professional history, it was learned that when he was 18 years old, he worked in a lead mine blasting with dynamite for 4 months, and then worked in tunnel and road construction, blasting, sand screening and transportation for 3 months. According to the International Labor Organization (ILO) International Classification of pneumoconiosis radiographs, the chest radiograph was r/q 2/2 + A2. In his history, it was learned that he applied to our hospital with the complaint of bloody sputum in 1982, open lung biopsy was performed for tuberculosis and malignancy, and the biopsy was reported as fibrotic lung tissue. We presented a case of pneumoconiosis presenting with bilateral pleural effusion accompanied by pulmonary thromboembolism.

Anahtar Kelimeler

• embolism
• pneumoconiosis
• tuberculosis

Kaynakça

1. 1. Matsumoto S, Miyake H, Oga M, Takaki H, Mori H. Diagnosis of lung cancer in a patient with pneumoconiosis and progressive massive fibrosis using MRI. Eur Radiol. 1998;8(4):615-617.
2. 2. Akkurt İ. Occupational Respiratory Diseases. Second edition, Güneş medical publishing house, Ankara, 2014, ISBN: 978-975-277-549-7.
3. 3. ILO. (2011). Guidelines for the use of the ILO International Classification of Radiographs of Pneumoconioses (revised edition 2011). Geneva: ILO.
4. 4. Ogihara Y, Ashizawa K, Hayashi H, et al. Progressive massive fibrosis in patients with pneumoconiosis: utility of MRI in differentiating from lung cancer. Acta Radiol. 2018;59(1):72-80.
5. 5. Leung CC, Yu IT, Chen W. Silicosis. Lancet. 2012;379(9830):2008-2018.
6. 6. Leidi A, Bex S, Righini M, Berner A, Grosgurin O, Marti C. Risk Stratification in Patients with Acute Pulmonary Embolism: Current Evidence and Perspectives. J Clin Med. 2022;11(9):2533. Published 2022 Apr 30.
7. 7. Virchow R. Gesammelte Abhandlungen zur wissenschaftlichen Medicin. Frankfurt: Verlag von MeidlingerSohn 1856.
8. 8. Fujimura N. Pathology and pathophysiology of pneumoconiosis. Curr Opin Pulm Med. 2000;6(2):140-144.

9. 9. Şimşek C, Akgündüz B, Sarı G. Could Pneumoconiosis be an Independent Risk Factor for Pulmonary Embolism? New Knowledge in Old Disease. J Pulm Med Respir Res 2021;7:068.
10. 10. Song YG, Hao FT, Zhu J, Li A, Xia YJ, Wang DX. Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2008;26(1):39-42.