Silicosis: Diagnosis and Medicolegal Implications
| Autor: | Brandon Bukovitz, Henry A. Anderson, Jonathan Meiman, Erin G. Brooks |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
Forensic pathology Databases Factual Pulmonary Fibrosis Silicosis Lymphadenopathy Autopsy Workers' compensation Comorbidity 01 natural sciences Occupational safety and health Pathology and Forensic Medicine 03 medical and health sciences Health services Wisconsin 0302 clinical medicine Occupational Exposure Environmental health Genetics medicine Humans 030216 legal & forensic medicine Sex Distribution Lung Aged Retrospective Studies business.industry Pneumoconiosis 010401 analytical chemistry medicine.disease 0104 chemical sciences Hospitalization Female Epidemiologic data business |
| Zdroj: | Journal of Forensic Sciences. 64:1389-1398 |
| ISSN: | 1556-4029 0022-1198 |
| DOI: | 10.1111/1556-4029.14048 |
| Popis: | Despite well-publicized sources of occupational hazard, silicosis continues to threaten industrial workers in the United States. We performed a retrospective search of the University of Wisconsin electronic pathology database to retrieve autopsy cases of silicosis and collaborated with the Wisconsin Department of Health Services to obtain statewide epidemiologic data regarding silicosis morbidity/mortality since 2003. Three silicosis autopsy cases were retrieved: all were men with ≥ 30 years of occupational crystalline silica exposure and similar histologic features of collagenous pulmonary nodules with admixed refractile particles. Overall, our state exceeds the national rate of silicosis-related hospitalizations and mortality, that is, 10.1 hospitalizations per million WI residents versus 1.2 nationally and 1.2 deaths per million WI residents versus 0.4 nationally. Surveillance is crucial to identify emerging occupational hazards and protect workers. A diagnosis of silicosis must be carefully considered at autopsy since it carries substantial implications for worker's compensation, compensatory losses, and employer liability. |
| Databáze: | OpenAIRE |
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