Hofmann-Preiss K.,Institute For Bildgebende Diagnostik Und Therapie Bdt |
Hering K.G.,Klinik fur Radiologie |
Kraus T.,Institute For Arbeitsmedizin Und Arbeitsmedizin
Arbeitsmedizin Sozialmedizin Umweltmedizin | Year: 2016
Silicosis is the most frequent occupational disease worldwide. In Germany silicosis is decreasing on the whole due to the great decrease of mining. In 2014 a total of 758 cases of silicosis, 6 cases of silicotuberculosis and 41 lung carcinomas due to silica dust were recognised as occupational diseases. At present, more than two-thirds of deaths in benign occupational lung diseases are still caused by silicosis/coal miner's pneumoconiosis. In mining the majority of cases are coal miner's pneumoconiosis. New diseases in Germany today are mostly classic silicosis in workers in the natural and artificial stone working trade and in tunnel and road construction. Mostly chronic forms of the disease are found here, even in younger workers. Acute cases of silicosis are observed above all in sandblasting and in tunnel construction, but have not been reported among German workers in the past few years. The radiologic patterns of the various courses of silicosis as well as those complicated by tuberculosis or immune disorders are described for chest X-rays as well as computed tomography. A description is given of the patterns of acute, accelerated and chronic silicosis, its complications and accompanying diseases, as well as the difference from sarcoidosis, which may present morphologically similar images.