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Silicon Dioxide Particles Deposited in Vessels and Cartilage of the Femoral Head

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초록

Silicosis had been considered for decades as an illness with manifestations of lung fibrosis due to inhalation of overconcentrated SiO2 dust. To the best of our knowledge,studies have yet to report SiO2 deposits in any other tissues and organs. In the present case, while performing bilateral artificial total hip arthroplasty for one patient, we found that the articular cartilage of the bilateral femoral head was black. Therefore, specimens thereof were sent for pathological examination. Pathologicalexamination (immunohistochemistry) and polarized light microscopy revealedthe presence of considerable brown, acicular, rhombic, and crumb-like crystals. The crystals were mainly composed of SiO2. SiO2 could deposit in vessels and femoral head cartilage via blood circulation.

Abstract

Silicosis had been considered for decades as an illness with manifestations of lung fibrosis due to inhalation of overconcentrated SiO2 dust. To the best of our knowledge,studies have yet to report SiO2 deposits in any other tissues and organs. In the present case, while performing bilateral artificial total hip arthroplasty for one patient, we found that the articular cartilage of the bilateral femoral head was black. Therefore, specimens thereof were sent for pathological examination. Pathologicalexamination (immunohistochemistry) and polarized light microscopy revealedthe presence of considerable brown, acicular, rhombic, and crumb-like crystals. The crystals were mainly composed of SiO2. SiO2 could deposit in vessels and femoral head cartilage via blood circulation.

참고문헌 (8)

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  4. Ambrosi L, "Histological aspects of the heart in silicotic patients", Med Lav, 57, pp.104~110 (1966)
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  8. Montaldo G, "Pneumosilicosis", Arch De Vecchi Anat Patol, 61, pp.487~495 (1976)

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