ABSTRACT
Silicosis is the most common and most frequently tuberculosis-complicated pneumoconiosis with poor prognosis. So a procedure for following up patients with silicotuberculosis requires revision and elaboration. Long-term follow-ups have made it possible to define early signs of this disease and to propose a number of techniques for its early diagnosis, such as chest computed tomography and polarization serum crystal microscopy. Specific recommendations on follow-ups of patients with silicosis and silicotuberculosis by a phthisiologist are laid down.
Subject(s)
Silicotuberculosis/diagnosis , Antitubercular Agents/therapeutic use , Diagnosis, Differential , Follow-Up Studies , Humans , Radiography, Thoracic , Russia , Silicosis/diagnosis , Silicotuberculosis/diagnostic imaging , Silicotuberculosis/drug therapy , Time Factors , Tomography, X-Ray ComputedABSTRACT
Sverdlovsk Regional Occupational Center based on the Research Institute has highly qualified staff, incorporates ambulatory department, hospital with modern diagnostic and therapeutic equipment. The Center performs multiple tasks, being an organizational and methodic, diagnostic and occupational examination institution using up-to-date advances in industrial medicine.
Subject(s)
Occupational Diseases/prevention & control , Occupational Health Services/supply & distribution , Occupational Health Services/trends , Catchment Area, Health , Humans , Occupational Diseases/epidemiology , Russia/epidemiology , Time FactorsABSTRACT
The routine methods X-ray study and computed tomography (CT) were compared in a group of patients engaged in fireproof industry. CT yields valuable additional data in early silicotuberculosis, which makes it possible to follow the extent of a silicotuberculous process more completely, to make a better diagnosis of nodal and focal shadows, to identify small decay cavities in the foci and infiltrates. CT is the method of choice in following up patients with silicotuberculosis.
Subject(s)
Silicotuberculosis/diagnostic imaging , Tomography, X-Ray Computed , Humans , Male , Radiography, Thoracic , Sensitivity and SpecificityABSTRACT
Potentials of computed tomography application to occupational pulmonology are not identified yet, hence it has a limited utility in this sphere. Computed tomography combined with roentgenologic methods serves to specify the origin and size of affected mediastinal nodes, to distinguish between silicotic and silicotuberculotic affects and nodules. Additional data are required.