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Vol. 15. Issue 1.
Pages 27-29 (January - March 1979)
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Vol. 15. Issue 1.
Pages 27-29 (January - March 1979)
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Adenopatias hiliares gigantes por silice
Giant hilar adenopathies by silica
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C. Alvarez Alvarez*, D. Escribano Sevillano**, M.a A. Astudillo González***, J.A. Mosquera Pestaña****
* Médico residente del servicio de Neumología. Hospital General de Asturias. Instituto Nacional de Silicosis. Oviedo
** Médico adjunto al Servicio de Neumología. Hospital General de Asturias. Instituto Nacional de Silicosis. Oviedo
*** Médico adjunto. Anatomía Patológica. Hospital General de Asturias. Instituto Nacional de Silicosis. Oviedo
**** Jefe del servicio de Neumología. Hospital General de Asturias. Instituto Nacional de Silicosis. Oviedo
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Resumen

Se describe un caso de grandes adenopatías biliares bilaterales en un trabajador en minas de fluoruro calcico con prurito y febrícula.

Los estudios anatomopatológicos y análisis espectométricos por infrarrojos mostraron la presencia de sílice (SiO2) en los ganglios.

Las neumoconiosis originan adenopatías hiliares, como se demuestra en las necropsias, pero rara vez presentan problemas diagnósticos por ser éstas de pequeño tamaño y pasar desapercibidas, a menos que calcifiquen.

Revisando la literatura no fuimos capaces de encontrar cifras de la incidencia de grandes adenopatías hiliares bilaterales por silicosis.

Sumrnary

The authors describe a case of large bilateral hilar adenopathies in a miner who worked in mines of calcium fluoride, with pruritus and febricula.

The anatomicopathological studies and spectometric analyses by infrared showed the presence of silica (SiO2) in the lymph nodes.

Pneumoconiosis originate hilar adenopathies, as is shown in the autopsies, but rarely present diagnostical problems, as they are small and go unnoticed, unless they calcify.

Although the authors reviewed the pertinent medical bibliography they couid not find figures on the incidence of large bilateral hilar adenopathies by silicosis.

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Bibliografia
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The bilateral hilar lymphoma syndrome.
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Transient undiagnosed intrathoracic lymphadenopathy. in apparently health persons.
Am. Rev. Resp. Dis., 67 (1953), pp. 45
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Bilateral hilar adenopathy: its significance and management.
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A clinical interpretation of bilateral hilar adenopathy.
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[6.]
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Progressive hilar and mediastinal lymphadenopathy in systemic lupus erythematosus. on corticosteroid therapy.
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Bilateral hilar lymphadenopathy: An uncommon. manifestation of adult tuberculosis.
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A diagnostic aproach to chest diseases. Differential diagnoses based on roentgenographic patterns.
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John Wright and Sons. Ltd, (1943), pp. 131
Copyright © 1979. Sociedad Española de Neumología y Cirugía Torácica
Archivos de Bronconeumología
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