3. Disease associated with this chemical was first noted in the 1930s in Europe.

Question

3. Disease associated with this chemical was first noted in the 1930s in Europe. In the 1940s, reports of disease related to this substance surfaced among workers exposed to phosphors in the fluorescent lamp industry and the nuclear weapons industry (Kress and Crispell 1944), Industry standards and environmental controls were initially established in the late 1940s. Industries and occupations with potential exposure include aerospace, automotive parts, computers, construction trades, dental supplies and prosthesis manufacture, electronics, industrial ceramics, laboratory workers, metal recycling, mining off beryl ore (beryl ore extraction), nuclear weapons, precision machine shops, smelting/foundry, tool and die manufacture, and welding. You are the Health and Safety Manager for a Ceramic manufacturing facility. You have several individuals that have been handling materials for 4-7 years that have all presented to the hospital and diagnosed with a chronic cough, tracheitis. In addition, some additional test results have shown pulmonary granulomatous disease. In addition, two young girls (12 and 15 yo) who are daughters of two hospitalized workers are showing the symptoms of cough, wheezing, and has a low-grade fever. One of the girls has developed a troublesome cough and sometimes at night cannot catch her breath. Her cough has recently worsened, with an increase in sputum production and chest discomfort. Last night she had a particularly rough time, but she had no wheezing or fever. Chart review reveals no known history of asthma or allergies. The patient's height and weight are appropriate for her age. Her two siblings, aged 6 and 12 years, are in good health. History of previous illness reveals three episodes of otitis media as a young child, but no other significant illness. She has no history of eczema or food intolerance. In response to your questions, the mother tells you that her husband, was a ceramic powder and been diagnosed with He recently had flu-like symptoms similar to those of his daughter, including fatigue, nasal congestion, sneezing.

Explanation / Answer

Sarcodiosis is not a very common disease but is classified as as an occupational disease . In certain type of industries like the asbestos , ceramic , mining, semiconductor the workers are ex[posed to a variety of industrial dusts that are related to several respiratory diseases like sarcodiosis, berylliosis, silicosis etc.

1.In ceramic industry Beryllium is used as it provides excellent heat conductivity,hardness and strength beryilliun oxide is extensively used . the dust when inhaled causes acute lung infections . This can be concluded as the article says that test reveal pulmonary granulomatous disease afeature seen in sarcodiosis.

2.The queries that can be asked are

a The period of exposure?

b. If he had dry cough?

c.If there was a family history of the disease?

d. other symptoms like sweating , fever in the night,fatigue , weight loss were observed?

3. Since the daughter also exhibits symptoms related to sarcoidiosis she may be affected with the same disease sarcodiosis similar to her father.

4.Yes, father could transmit the disease to others may be by contact.

5. The diagnostic tests involved are lung function tests,chest X-rays, biopsy and blood test.

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