Occupational Asthma Reference
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Mitani M, Satoh K, Kobayashi T, Kawase Y, Hosokawa N, Takashima H, Kobayashi S, Tanabe M,
Hypersensitivity pneumonitis in a pearl nucleus worker,
J Thorac Imaging,
1995;10:134-137,
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Keywords: pearl, Japan, shell, alveolitis, nc, case report
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Abstract
A 37-year-old woman had worked for 4 years in a shell-processing factory where considerable airborne dust was produced cutting and polishing fresh water shells into pearl nuclei. She had a dry cough and dyspnea. Transbronchial lung biopsy showed noncaseating granulomas and cellular intraalveolar infiltrates. High-resolution lung computed tomography (HRCT) showed diffuse small nodules and ground-glass opacities. Hypersensitivity pneumonitis caused by shell dust should be considered in the appropriate clinical setting in a patient with the appropriate radiographic abnormalities
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