한국산업보건학회지 (Journal of Korean Society of Occupational and Environmental Hygiene)

  • 제35권1호
  • /
  • Pages.1-11
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  • 2025
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  • 2384-132X(pISSN)
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  • 2289-0564(eISSN)
한국산업보건학회 (Korean Industrial Hygiene Association)
권호 표지
DOI QR코드

DOI QR Code

단기간 금속분진 노출에 의해 발생한 간질성 폐질환 업무관련성 평가

A Case Study on Work-Related Evaluation of Interstitial Lung Disease Caused by Short-Term Exposure to Metal Dust

  • 김부욱 (대한산업보건협회 보건안전연구원) ;
  • 서동환 (이대목동병원 직업환경의학과) ;
  • 김현주 (이대목동병원 직업환경의학과)
  • Boowook Kim (Health and Safety Research Institute, Korean Industrial Health Association (KIHA)) ;
  • Dongwhan Suh (Department of Occupational and Environmental Medicine, Ewha Womans University Mokdong Hospital) ;
  • Hyunjoo Kim (Department of Occupational and Environmental Medicine, Ewha Womans University Mokdong Hospital)
  • 투고 : 2025.01.15
  • 심사 : 2025.03.10
  • 발행 : 2025.03.31
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초록

Objectives: This study evaluates the work-relatedness of a case of interstitial lung disease in a foreign worker employed at an agricultural machinery manufacturing plant in Gyeonggi-do, Korea. The worker developed persistent cough and dyspnea, leading to a diagnosis of unspecified interstitial lung disease. Methods: Occupational exposure was assessed through industrial hygiene evaluation and lung tissue analysis using electron microscopy. Workplace materials, including abrasives and shot balls, were analyzed by X-ray diffraction. Medical records, workplace monitoring, and literature review were conducted following NIOSH guidelines. Results: The worker was exposed to iron oxide dust, ultrafine metal fumes, and silica-containing paint dust. Additionally, high-concentration dust cleaning tasks increased exposure. Lung biopsy revealed alveolar macrophage accumulation and mild interstitial fibrosis, confirming occupational dust exposure. Conclusions: Despite a relatively short employment period, the temporal relationship between work exposure and disease onset supports a work-related association. This case highlights the importance of improved dust control measures, respiratory protection, and continuous monitoring to prevent occupational lung diseases.

키워드

참고문헌

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