Usual Interstitial Pneumonia Associated With Crystalline Silica Exposure in Pneumoconiosis: A Retrospective Cohort Study

J Occup Environ Med. 2021 Dec 1;63(12):e905-e910. doi: 10.1097/JOM.0000000000002399.

Abstract

Objective: We aimed to identify a relation between the level of silica exposure and the associated increase in the risk of radiologic usual interstitial pneumonia (UIP) pattern.

Methods: We selected data of 796 individuals with pneumoconiosis who had undergone a chest computed tomography (CT). We estimated the silica exposure by comparing their occupational history with the data silica dust exposure.

Results: Individuals employed as stonemasons demonstrated a 2.30-fold increase in the risk of developing UIP than coal mine workers (odds ratio [OR], 2.30; 95% confidence interval [CI], 1.04 to 5.07). The high silica exposure group was associated with a 2.23-fold increase in the risk of developing UIP than the low silica exposure group (OR, 2.23; 95% CI, 1.07 to 4.69).

Conclusions: This study suggests that silica exposure is associated with an increased risk of developing UIP pattern, highlighting a dose-response relationship.

MeSH terms

  • Dust
  • Humans
  • Idiopathic Pulmonary Fibrosis* / complications
  • Occupational Exposure* / adverse effects
  • Pneumoconiosis* / diagnostic imaging
  • Pneumoconiosis* / epidemiology
  • Pneumoconiosis* / etiology
  • Retrospective Studies
  • Silicon Dioxide / toxicity

Substances

  • Dust
  • Silicon Dioxide