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Lung Pathologic Findings in a Local Residential and Working Community Exposed to World Trade Center Dust, Gas, and Fumes
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Lung Pathologic Findings in a Local Residential and Working Community Exposed to World Trade Center Dust, Gas, and Fumes
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Journal Article
Lung Pathologic Findings in a Local Residential and Working Community Exposed to World Trade Center Dust, Gas, and Fumes
2011
Overview
Objective: To describe pathologic findings in symptomatic World Trade Center-exposed local workers, residents, and cleanup workers enrolled in a treatment program. Methods: Twelve patients underwent surgical lung biopsy for suspected interstitial lung disease (group 1, n = 6) or abnormal pulmonary function tests (group 2, n = 6). High-resolution computed axial tomography and pathologic findings were coded. Scanning electron microscopy with energy-dispersive x-ray spectroscopy was performed. Results: High-resolution computed axial tomography showed reticular findings (group 1) or normal or airway-related findings (group 2). Pulmonary function tests were predominantly restrictive. Interstitial fibrosis, emphysematous change, and small airway abnormalities were seen. All cases had opaque and biréfringent particles within macrophages, and examined particles contained silica, aluminum silicates, titanium dioxide, talc, and metals. Conclusions: In symptomatic World Trade Center-exposed individuals, pathologic findings suggest a common exposure resulting in alveolar loss and a diverse response to injury.
Publisher
Lippincott Williams & Wilkins,The American College of Occupational and Environmental Medicine,Lippincott Williams & Wilkins Ovid Technologies
Subject
/ Air Pollutants - adverse effects
/ Aluminum
/ Aluminum Silicates - analysis
/ Biological and medical sciences
/ Biopsy
/ Chemical and industrial products toxicology. Toxic occupational diseases
/ Dust
/ Environmental Exposure - adverse effects
/ Female
/ Fumes
/ Humans
/ Lung
/ Lung Diseases, Interstitial - diagnostic imaging
/ Lung Diseases, Interstitial - pathology
/ Male
/ Metals
/ Occupational Diseases - diagnostic imaging
/ Occupational Diseases - pathology
/ Pulmonary Fibrosis - diagnostic imaging
/ Pulmonary Fibrosis - pathology
/ September 11 Terrorist Attacks
/ Silica
