<abstract xmlns="http://www.w3.org/1999/xhtml"><bold>Introduction:</bold> Our article underlines the importance of a good professional anamnesis, knowing all the chemical components with which the patient had been exposed to during her active life as a teacher.<bold>Case presentation:</bold> A 64-year-old female patient, teacher for 27 years, who had been retired for six years, presented cough with white phlegm and shortness of breath occurring during physical exertion, diffuse thoracic pain, and fatigue. Several lung functional tests were performed, which established the diagnosis of irreversible minor mixed ventilatory dysfunction. In order to establish the etiology of the patient’s symptoms, multiple clinical, laboratory, imaging, and functional investigations were performed including a chest radiograph, pulmonary functional testing, bronchial reversibility testing, a thoracic CT scan, fibrobronchoscopy, alveolar-capillary diffusion capacity measurement, otorhinolaryngology examination, thyroid ultrasound, as well as a cardiological consult. Finally, a positive diagnosis was established: bronchial hyperreactivity syndrome, chalk dust-induced diffuse pulmonary fibrosis.<bold>Conclusion:</bold> An essential part of clinical practice is a proper anamnesis, including detailed information on the professional history and exposure, as well as the composition of the dust/particles with which the patient had been in contact with.</abstract>

Introduction: Our article underlines the importance of a good professional anamnesis, knowing all the chemical components with which the patient had been exposed to during her active life as a teacher.Case presentation: A 64-year-old female patient, teacher for 27 years, who had been retired for six years, presented cough with white phlegm and shortness of breath occurring during physical exertion, diffuse thoracic pain, and fatigue. Several lung functional tests were performed, which established the diagnosis of irreversible minor mixed ventilatory dysfunction. In order to establish the etiology of the patient’s symptoms, multiple clinical, laboratory, imaging, and functional investigations were performed including a chest radiograph, pulmonary functional testing, bronchial reversibility testing, a thoracic CT scan, fibrobronchoscopy, alveolar-capillary diffusion capacity measurement, otorhinolaryngology examination, thyroid ultrasound, as well as a cardiological consult. Finally, a positive diagnosis was established: bronchial hyperreactivity syndrome, chalk dust-induced diffuse pulmonary fibrosis.Conclusion: An essential part of clinical practice is a proper anamnesis, including detailed information on the professional history and exposure, as well as the composition of the dust/particles with which the patient had been in contact with.

Chalk-induced Lung Fibrosis — Case Report

Department of Occupational Medicine, Mureș County Hospital

Journal of Interdisciplinary Medicine

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

{"article-title":"Chalk-induced Lung Fibrosis \u2014 Case Report"}

Introduction: Our article underlines the importance of a good professional anamnesis, knowing all the chemical components with which the patient had been...

Chalk-induced Lung Fibrosis — Case Report

Published Online: Mar 19, 2018

Page range: 357 - 361

Received: Dec 20, 2017

Accepted: Dec 29, 2017

DOI: https://doi.org/10.1515/jim-2017-0089

Keywords
chalk dust, pulmonary fibrosis, bronchial hyperreactivity, chronic cough

© 2017 Zsuzsánna Ágnes Szász et al., published by De Gruyter Open

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Chalk-induced Lung Fibrosis — Case Report

Published Online: Mar 19, 2018

Page range: 357 - 361

Received: Dec 20, 2017

Accepted: Dec 29, 2017

DOI: https://doi.org/10.1515/jim-2017-0089

Keywordschalk dust, pulmonary fibrosis, bronchial hyperreactivity, chronic cough

© 2017 Zsuzsánna Ágnes Szász et al., published by De Gruyter Open

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Keywords
chalk dust, pulmonary fibrosis, bronchial hyperreactivity, chronic cough