A silicosis patient presenting with an enlarged supraclavicular lymph node.
A stone splitter was discovered to have an enlarged supraclavicular lymph node which showed nodules with bi-refringent crystals on histological examination. He had worked in a dusty environment for more than 10 years with ineffective respiratory protection. He gave a history of occasional cough with blood-stained sputum for 10 years for which no definite diagnosis was made. Silicosis (classified as type s/s with profusion 1/1) was confirmed after his chest radiographs were reviewed. The presentation was unusual and illustrated the importance of an occupational history in clinical practice.
Wong
T W
TW
Department of Community & Family Medicine, Chinese University of Hong Kong, Shatin, New Territories, Hong Kong.
Yu
T S
TS
Tam
C M
CM
Wang
X R
XR
D002968:Clavicle; D003371:Cough / Q000209:etiology; D003937:Diagnosis, Differential; D004391:Dust / Q000009:adverse effects; D006469:Hemoptysis / Q000209:etiology; D006801:Humans; D008198:Lymph Nodes / Q000473:pathology*; D008206:Lymphatic Diseases / Q000175:diagnosis* / Q000473:pathology; D008297:Male; D008875:Middle Aged; D012829:Silicosis / Q000175:diagnosis* / Q000473:pathology
D004391:Dust