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British Journal of Industrial Medicine logoLink to British Journal of Industrial Medicine
. 1960 Oct;17(4):247–259. doi: 10.1136/oem.17.4.247

The Relation Between Lung Dust and Lung Pathology in Pneumoconiosis*

G Nagelschmidt 1
PMCID: PMC1038077  PMID: 13727444

Abstract

Methods of isolation and analysis of dust from pneumoconiotic lungs are reviewed, and the results of lung dust analyses for different forms of pneumoconiosis are presented.

A tentative classification separates beryllium, aluminium, abrasive fume, and asbestos, which cause interstitial or disseminated fibrosis from quartz, coal, haematite, talc, kaolin, and other dusts, which cause a nodular or focal fibrosis which may change to forms with massive lesions. The data suggest that in the first, but not in the second, group the dusts are relatively soluble; only in the second group do amounts of dust and severity of fibrosis go in parallel for a given form of pneumoconiosis. In classical silicosis the quartz percentage is higher and the amount of total dust much lower than in coal-miners' pneumoconiosis. Mixed forms of both groups occur, for instance, in diatomite workers. The need for more research, especially in the first group, is pointed out.

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Selected References

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