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1.
Nihon Kokyuki Gakkai Zasshi ; 48(4): 282-7, 2010 Apr.
Article in Japanese | MEDLINE | ID: mdl-20432968

ABSTRACT

The patient was a man who had suffered from repeated pneumothoraces since August 2003, when he was 16 years old. A right pneumothorax was observed at age 21 years, in April 2008. At the same time, a dry cough began to appear and diffuse small nodular shadows in both lung fields were found on a chest X-ray film. Due to worsening symptoms and the chest X-ray findings, a transbronchial lung biopsy was performed in September 2008. Pathological examination showed mural type organization, and large numbers of multinucleated giant cells that were engulfing nucleated cells and had black pigment in their cytoplasm. Giant cell interstitial pneumonia and hard metal lung disease (HMLD) were suspected because of the patient's occupational history as a metal grinder, which included the use of a hard metal tool for three years since August 2005. In an elementary analysis using an electron probe microanalyzer, tungsten was detected in resected lung tissue obtained in April 2008 which confirmed the diagnosis. His symptoms improved after the initiation of corticosteroid therapy, which continued but with a gradual decrease in the dose. In this case, HMLD developed over a relatively short period despite the low level of dust dispersal of a hard-metal tool, perhaps because of a hypersensitivity of the patient to hard metal.


Subject(s)
Giant Cells, Foreign-Body/pathology , Lung Diseases, Interstitial/pathology , Occupational Diseases/pathology , Tungsten/adverse effects , Alloys/adverse effects , Cobalt/adverse effects , Humans , Male , Young Adult
2.
J Am Soc Mass Spectrom ; 14(10): 1110-5, 2003 Oct.
Article in English | MEDLINE | ID: mdl-14530091

ABSTRACT

The photoinduced changes of metal-ion complexing ability of crowned spirobenzopyran derivatives were studied by using electrospray ionization mass spectrometry (ESI-MS). Stability constants for the complexation with various metal ions in methanol under visible-irradiation conditions were determined for the first time by ESI-MS. It was found that the stability constants of crowned bis(spirobenzopyran) derivatives with metal ions are decreased dramatically by visible irradiation due to the disappearance of powerful ionic interaction between phenolate anion(s) of the merocyanine form of their spirobenzopyran moiety and a metal ion bound to their crown ether moiety, and the decrease in the stability constants is more pronounced for the multivalent metal-ion complexes. A theoretical consideration was also made to attain reliable values of stability complexes for metal-ion complexes of crown compounds.

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