A case of welder's pneumoconiosis treated with corticosteroid followed by nintedanib. (2022)

• Record Type: Journal Article
• Authors: Kaida, Hideyuki; Utsunomiya, Takuhide; Koide, Yohei; Ueda, Yusuke; Wada, Kenji; Yoshida, Yuji; Kinoshita, Yoshiaki; Kushima, Hisako; Ishii, Hiroshi
• Is Part Of: Respiratory medicine case reports. Volume 39(2022)
• Publication Date: 2022
• Subjects: Welder's pneumoconiosis -- Alveolar hemorrhage -- Progressive fibrosing interstitial lung disease -- Nintedanib; CT computed tomography -- PF-ILD progressive fibrosing interstitial lung disease -- IPF idiopathic pulmonary fibrosis; Respiratory organs -- Diseases -- Periodicals; Chest -- Diseases -- Periodicals; Respiratory Tract Diseases -- Periodicals; Respiratory System -- Periodicals; Chest -- Diseases; Respiratory organs -- Diseases; Electronic journals; Periodicals; 616.2
• DOI: 10.1016/j.rmcr.2022.101729
• Languages: English
• ISSNs: 2213-0071

Abstract

Abstract: A 32-year-old man who had worked as a welder for 13 years was hospitalized for a fever and hemosputum with dyspnea. He was diagnosed with welding fume-associated lung disease with alveolar hemorrhaging and acute respiratory failure. Despite surviving the acute phase with corticosteroid therapy, hypoxemia persisted after a month and a half, requiring home oxygen therapy. As a result of the introduction of nintedanib, his clinical findings gradually improved, and the patient was weaned from oxygen therapy after six months. Inhalation of a large amount of welding fumes in a short period can cause alveolar hemorrhaging and prolonged pulmonary dysfunction.