<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2183-8453</journal-id>
<journal-title><![CDATA[Revista Portuguesa de Saúde Ocupacional online]]></journal-title>
<abbrev-journal-title><![CDATA[RPSO]]></abbrev-journal-title>
<issn>2183-8453</issn>
<publisher>
<publisher-name><![CDATA[Ajeogene Serviços Médicos Lda]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2183-84532023000200706</article-id>
<article-id pub-id-type="doi">10.31252/rpso.11.11.2023</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[PNEUMOCONIOSES: QUANDO O TRABALHO IMPOSSIBILITA TRABALHAR]]></article-title>
<article-title xml:lang="en"><![CDATA[PNEUMOCONIOSIS: WHEN WORK DISABLES WORKING]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ferreira]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guimarães]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
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<contrib contrib-type="author">
<name>
<surname><![CDATA[Sobral]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
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<contrib contrib-type="author">
<name>
<surname><![CDATA[Rocha]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
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<surname><![CDATA[Penas]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
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</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidade do Porto Faculdade de Medicina Centro Hospitalar Tâmega e Sousa]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidade do Porto Faculdade de Medicina Centro Hospitalar Tâmega e Sousa]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidade de Coimbra Faculdade de Medicina Centro Hospitalar Tâmega e Sousa]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidade do Minho Escola de Medicina Centro Hospitalar Tâmega e Sousa]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidade do Porto Faculdade de Medicina ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<volume>16</volume>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2183-84532023000200706&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2183-84532023000200706&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2183-84532023000200706&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  Enquadramento As pneumoconioses são doenças pulmonares causadas pela inalação de poeiras minerais, partículas orgânicas e inorgânicas, gases e vapores químicos, com consequente inflamação pulmonar e fibrose. Os indivíduos são geralmente expostos em ambiente laboral, pelo que na sua maioria são consideradas doenças ocupacionais. Estas patologias podem manifestar-se de forma ligeira e transitória, ou terem um curso crónico e agressivo, com necessidade de tratamento de última linha, como o transplante pulmonar.  Descrição do caso Descrevemos o caso de uma mulher de 46 anos de idade com história de exposição ocupacional a sílica, sendo operária numa fábrica de corte de pedra (quartzo) há 25 anos e que possuía como animais domésticos periquitos. Apresentava uma clínica de dispneia de esforço, de agravamento progressivo, com um ano de evolução, que resultou no diagnóstico de silicose e alveolite alérgica extrínseca (AAE). Descrevemos o acompanhamento e seguimento terapêutico.  Discussão A silicose, uma das principais doenças pulmonares ocupacionais, é causada pela inalação de dióxido de silício cristalino. Representa uma doença progressiva, com fibrose pulmonar irreversível e declínio gradual da função pulmonar. A AAE é uma doença pulmonar intersticial caracterizada por uma reação imunológica no parênquima pulmonar em resposta à inalação repetitiva de um alergénio, causando sensibilização. O diagnóstico destas entidades é geralmente clínico e baseado especialmente na história ocupacional/ ambiental, sendo complementado por imagiologia sugestiva. O tratamento é maioritariamente de suporte, ponderando-se o transplante pulmonar na doença terminal.  Conclusão Este caso clínico enfatiza o papel essencial da prevenção, nomeadamente, na gestão da exposição no local de trabalho e na implementação de medidas de proteção. Salienta ainda o importante papel do Médico de Família, pela sua abordagem biopsicossocial, na educação para a saúde, no diagnóstico precoce destas patologias e na prevenção da progressão da doença e desenvolvimento de complicações, associadas a elevada morbimortalidade.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[SUMMARY  Background Pneumoconiosis are lung diseases caused by inhalation of mineral dust, organic and inorganic particles, gases and chemical vapors, with consequent lung inflammation and fibrosis. Individuals are generally exposed in the workplace, hence the majority are considered occupational diseases. These illnesses can have a mild and transient course or a chronic and aggressive evolution, requiring last-line treatment, such as lung transplantation.  Case description We describe a clinical case of a 46-year-old woman with history of occupational exposure to silica, working in a stone (quartz) cutting factory for 25 years, who had parakeets as pets. She presented with exertional dyspnea, progressively worsening, for a year, which resulted in the diagnosis of silicosis and extrinsic allergic alveolitis (EAA). We describe monitoring and therapeutic follow-up.  Discussion Silicosis, a major occupational lung disease, is caused by inhalation of crystalline silicon dioxide (as quartz). It is a progressive disease, with irreversible pulmonary fibrosis and gradual decline in lung function. EAA is an interstitial lung disease characterized by an immunological reaction in the lung parenchyma in response to repetitive inhalation, causing sensitization. The diagnosis of these entities is generally clinical and based especially on occupational/environmental history, complemented by suggestive imaging. Treatment is mostly supportive, with lung transplantation being considered in terminal illness.  Conclusion This clinical case emphasizes the essential role of prevention, namely in managing exposure in the workplace and implementing protection measures. It also highlights the important role of the Family Doctor, through its biopsychosocial approach, in health education, in the early diagnosis of these pathologies and in preventing the progression of the disease and the development of complications, associated with high morbidity and mortality.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Pneumoconioses]]></kwd>
<kwd lng="pt"><![CDATA[Silicose]]></kwd>
<kwd lng="pt"><![CDATA[Alveolite alérgica extrínseca]]></kwd>
<kwd lng="pt"><![CDATA[Doença pulmonar ocupacional]]></kwd>
<kwd lng="pt"><![CDATA[Risco laboral e ambiental]]></kwd>
<kwd lng="pt"><![CDATA[Medicina e Segurança do Trabalho.]]></kwd>
<kwd lng="en"><![CDATA[Pneumoconiosis]]></kwd>
<kwd lng="en"><![CDATA[Silicosis]]></kwd>
<kwd lng="en"><![CDATA[Extrinsic allergic alveolitis]]></kwd>
<kwd lng="en"><![CDATA[Occupational lung disease]]></kwd>
<kwd lng="en"><![CDATA[Occupational and environmental risk]]></kwd>
<kwd lng="en"><![CDATA[Occupational health and safety.]]></kwd>
</kwd-group>
</article-meta>
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