Sarcoidosis and denim sandblasting: a case report

In this case report we present a rare case of sarcoidosis associated with denim sandblasting. A 33-year-old male patient was admitted to our clinic with pain in his shoulders, elbows, wrists, and hips, which had started 5 months earlier. His medical history showed that he had been working in denim sandblasting for the last 4 years. Sacroiliac compression and FABER tests were both positive. Laboratory analysis reported an erythrocyte sedimentation rate of 43 mm/h and serum C-reactive protein of 11 mg/dL. Bilateral hilar and mediastinal multiple lymph nodes of about 2 cm and bilateral parenchymal nodular opacities were observed in the lungs upon computerized tomography. The serum angiotensin-converting enzyme level was 190.10 U/L and 24-h urine Ca was 370.5 mg. We diagnosed sarcoidosis in the patient and we began a steroid therapy of 30 mg/day. Improvements were observed in the patient at the clinic during the following 3-month period. A reduction was identified in the size and number of mediastinal lymph nodes in the follow-up tomography.

Sarcoidosis and denim sandblasting: a case report

In this case report we present a rare case of sarcoidosis associated with denim sandblasting. A 33-year-old male patient was admitted to our clinic with pain in his shoulders, elbows, wrists, and hips, which had started 5 months earlier. His medical history showed that he had been working in denim sandblasting for the last 4 years. Sacroiliac compression and FABER tests were both positive. Laboratory analysis reported an erythrocyte sedimentation rate of 43 mm/h and serum C-reactive protein of 11 mg/dL. Bilateral hilar and mediastinal multiple lymph nodes of about 2 cm and bilateral parenchymal nodular opacities were observed in the lungs upon computerized tomography. The serum angiotensin-converting enzyme level was 190.10 U/L and 24-h urine Ca was 370.5 mg. We diagnosed sarcoidosis in the patient and we began a steroid therapy of 30 mg/day. Improvements were observed in the patient at the clinic during the following 3-month period. A reduction was identified in the size and number of mediastinal lymph nodes in the follow-up tomography.

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  • Sweiss NJ, Patterson K, Sawaqed R, Jabbar U, Korsten P, Hogarth K et al. Rheumatologic manifestations of sarcoidosis. Semin Respir Crit Care Med 2010; 31: 463–73.
  • Karnchanasorn R, Sarikonda M, Aldasouqi S, Gossain VV. Severe hypercalcemia and acute renal failure: an unusual presentation of sarcoidosis. Case Report Med 2010; 2010: 4236
  • Newman LS, Rose CS, Bresnitz EA, Rossman MD, Barnard J, Frederick M et al. A case control etiologic study of sarcoidosis: environmental and occupational risk factors. Am J Respir Crit Care Med. 2004; 170: 1324–30.
  • Baughman RP, Lower EE, du Bois RM. Sarcoidosis. Lancet 2003; 361: 1111–8.
  • Erb N, Cushley MJ, Kassimos DG, Shave RM, Kitas GD. An assessment of back pain and the prevalence of sacroiliitis in sarcoidosis. Chest 2005; 127: 192–6.
  • Akgun M, Mirici M, Ucar EY, Kantarci M, Araz O, Gorguner M. Silicosis in Turkish denim sandblasters. Occup Med (Lond) 2006; 56: 554–8.
  • Barboza CE, Winter DH, Seiscento M, Santos Ude P, Terra Filho M. Tuberculosis and silicosis: epidemiology, diagnosis and chemoprophylaxis. J Bras Pneumol 2008; 34: 959–66.
  • Alper F, Akgun M, Onbas O, Araz O. CT findings in silicosis due to denim sandblasting. Eur Radiol 2008; 18: 2739–44.
  • Doganay S, Gocmen H, Yikilmaz A, Coskun A. Silicosis due to denim sandblasting in young people: MDCT findings. Eurasian J Med 2010; 42: 21–3.
  • Kruit A, Grutters JC, Gerritsen WB, Kos S, Wodzig WK, van den Bosch JM et al. ACE I/D-corrected Z-scores to identify normal and elevated ACE activity in sarcoidosis. Respir Med 2007; 101: 510–5.
Turkish Journal of Medical Sciences-Cover
  • ISSN: 1300-0144
  • Yayın Aralığı: 6
  • Yayıncı: TÜBİTAK
Sayıdaki Diğer Makaleler

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The effects of acetyl shikonin isolated from Onosma armeniacum on oxidative stress in ethanol-induced ulcer model of rats

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