Assessment of liver dysfunction in silica exposed workers

ABSTRACT

Seventy five silica exposed workers in sandbricks industry and twenty five controls were chosen for this study. Each individual was subjected to a questionnaire [for personal and medical histories] and clinical examination. Liver function tests, procollagen III peptide, alpha-I - antitrypsin, hepatitis markers [B and C], haematological tests for schistosomiasis, urine and stool analysis, abdominal sonography and chest X-ray were done for all chosen subjects. Environmental study was done for estimation of total and free crystalline silica. The results of environmental study showed higher concentration of total respirable dust and free crystalline silica than threshold limit values. Silica exposed workers had a significantly higher mean of gamma-glutamyl trans peptidase and procollagen III peptide than controls. These two parameters increased significantly in exposed workers [free from schistosomiasis and / or hepatitis markers] as chest grading of silicosis and time intensity factor increased. Gamma-glutamyl-trans peptidase and procollagen III peptide can be used for early detection of liver dysfunction in silica exposed workers. Also, in the pre-employment medical examination, individuals with previous liver affection [either due to schistosomiasis and / or hepatitis] should not be exposed to silica to avoid further deterioration of liver function