{"doi":"10.21017/rev.repub.2023.v35.a158","title":"SALUD OCUPACIONAL: MIRADA NORMATIVA PARA EL DIAGNÓSTICO DE SILICOSIS","abstract":"<jats:p>Silicosis  is  an  occupational  lung  fibrosis  caused  by  the  inhalation  of  dust containing free crystalline silica. Its prevalence can vary in different countries and regions. In the case of Chile, silicosis has been recognized as a significant occupational  health  problem.  The  clinical  presentation  of  silicosis  largely depends on the intensity and duration of exposure. Initially, there may be no signs  or  symptoms.  The  differential  diagnosis  is  mainly  performed  with pulmonary  tuberculosis,  pulmonary  aspergillosis,  pulmonary  metastasis, sarcoidosis,  hypersensitivity  pneumonitis,  and  other  pneumoconiosis.  After confirming the diagnosis, the process of determining the origin of the pathology begins, for which an Occupational History is required to describe occupational exposure to the risk agent (silica) in terms of time, magnitude, and/or intensity sufficient to develop an occupational-related disease. A Chest X-ray using the ILO (International Labour Organization) technique is necessary, classified as category 1 according to the ILO Classification, and should be interpreted by certified readers. The similarity in radiographic readings necessitates a greater emphasis  on  the  differential  diagnosis  among  these  conditions.  A  high- resolution  chest  computed  tomography  without  contrast  and  a  lung  biopsy should  be  considered  in  case  of  comorbidity,  if  these  diagnostic  tests  are available. Finally, it is suggested that workers diagnosed with silicosis in the early stages should be identified and removed from silica exposure to prevent disability through medical surveillance.</jats:p>","journal":"Revista Republicana","year":2023,"id":689185,"datarank":0.16479184330021646,"base_score":1.0986122886681096,"endowment":1.0986122886681096,"self_citation_contribution":0.16479184330021646,"citation_network_contribution":0.0,"self_endowment_contribution":0.16479184330021646,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":2,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1800447,"name":"Diemen Delgado-García","orcid":null,"position":1,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"SALUD OCUPACIONAL: MIRADA NORMATIVA PARA EL DIAGNÓSTICO DE SILICOSIS","abstract":"<jats:p>Silicosis  is  an  occupational  lung  fibrosis  caused  by  the  inhalation  of  dust containing free crystalline silica. Its prevalence can vary in different countries and regions. In the case of Chile, silicosis has been recognized as a significant occupational  health  problem.  The  clinical  presentation  of  silicosis  largely depends on the intensity and duration of exposure. Initially, there may be no signs  or  symptoms.  The  differential  diagnosis  is  mainly  performed  with pulmonary  tuberculosis,  pulmonary  aspergillosis,  pulmonary  metastasis, sarcoidosis,  hypersensitivity  pneumonitis,  and  other  pneumoconiosis.  After confirming the diagnosis, the process of determining the origin of the pathology begins, for which an Occupational History is required to describe occupational exposure to the risk agent (silica) in terms of time, magnitude, and/or intensity sufficient to develop an occupational-related disease. A Chest X-ray using the ILO (International Labour Organization) technique is necessary, classified as category 1 according to the ILO Classification, and should be interpreted by certified readers. The similarity in radiographic readings necessitates a greater emphasis  on  the  differential  diagnosis  among  these  conditions.  A  high- resolution  chest  computed  tomography  without  contrast  and  a  lung  biopsy should  be  considered  in  case  of  comorbidity,  if  these  diagnostic  tests  are available. Finally, it is suggested that workers diagnosed with silicosis in the early stages should be identified and removed from silica exposure to prevent disability through medical surveillance.</jats:p>","is_dataset_classified":null,"base_score":1.0986122886681096,"endowment":1.0986122886681096,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"21097893","pmcid":null,"openalex_id":"https://openalex.org/W4388587306","authors":[],"funders":[],"total_grants":0,"fwci":0.4546,"citation_percentile":0.70814854,"influential_citations":0,"citation_trend":[{"year":2025,"count":1},{"year":2026,"count":1}],"oa_status":"gold","license":null,"oa_locations":[{"url":"http://ojs.urepublicana.edu.co/index.php/revistarepublicana/article/download/950/674/","host_type":"journal"},{"url":"http://ojs.urepublicana.edu.co/index.php/revistarepublicana/article/download/950/674/","host_type":"publisher"},{"url":"http://dx.doi.org/10.21017/rev.repub.2023.v35.a158","host_type":"journal"}],"fields_of_study":["Occupational and environmental lung diseases","Occupational exposure and asthma","Occupational Health and Safety in Workplaces"],"mesh_terms":[],"keywords":["Silicosis","Occupational lung disease","Medicine","Pneumoconiosis","Sarcoidosis","Differential diagnosis","Chest radiograph","Asbestosis","High-resolution computed tomography","Lung","Radiology","Internal medicine","Pathology"],"sdg_mappings":[{"sdg_number":0,"sdg_label":"Decent work and economic growth"}],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-19T23:28:05.747507Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}