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Silicosis presenting as bilateral hilar lymphadenopathy and lithoptysis

RAJA SEKAR

Abstract


Abstract : Silicosis is one of the most common occupational lung diseases in the world. It has varied clinical presentation . Silicosis presenting as bilateral hilar lymphadenopathy without any pulmonary nodule is very rare.Only few studies are     available describing such a presentation despite the known fact that hilar nodes are the first to be involved in  pathogenesis of silicosis. Lithoptysis is a rare medical  phenomenon commonly caused by tuberculosis and  histoplasmosis. Only few cases of lithoptysis have been    reported in patients with silicosis in medical literature. We report a case of silicosis who worked as a ledgeman in quarry fields 9 years back and presented to us with lithoptysis . His imaging study showed bilateral hilar lymphadenopathy with egg shell calcification.

 

Keyword :silicosis, lithoptysis, broncholithiasis, egg shell calcification

 


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