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hard metal disease

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hard metal disease,
pneumoconiosis caused by inhalation of fine particles of cobalt, usually in conjunction with tungsten carbide. In early stages reversible hyperplasia and metaplasia of the bronchial epithelium are seen. Later, subacute alveolitis and then chronic interstitial fibrosis develop. Also called cobalt lung.


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The large case series of hard metal disease described byMoriyami and colleagues in their article provides an important source of clinico-pathologic data pertaining to a rare, but important interstitial lung disease (1).
Adverse impact is caused by charged substitutions in positions [beta]55, [beta]56, [beta]B69, [beta]84, and [beta]85, namely, the exact same loci identified as genetic markers of CBD susceptibility as well as cobalt-lung hard metal disease.
 
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