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(Chest. 1994;106:974-976.)
© 1994 American College of Chest Physicians

Environmental Airborne Tremolite Asbestos Pollution and Pleural Plaques in Afghanistan

Chantal Voisin M.D.1; Isabelle Marin M.D.2; Patrick Brochard M.D.3; and Jean-Claude Pairon M.D.1

1 From the INSERM Unité 139 and Lung Department of CHI Creteil, France
2 From the Service de Chirurgie Thoracique, Hôpital Laennec, Paris, France
3 From the Laboratoire d'Etude des Particules Inhalées, Paris, France

A 51-year-old man underwent pleuroscopy for radiologic pleural abnormalities. Pathologic examination of pleural and lung biopsy specimens concluded on hyalinized pleural plaques associated with mild asbestosis. Transmission electron microscopy analysis showed significant retention of tremolite asbestos fibers. The absence of any occupational exposure to asbestos and the existence of geologic deposits of tremolite in the Kabul area of Afghanistan suggest an environmental exposure during the patient's childhood spent in this region.

Submitted on May 7, 1993
Accepted on September 18, 1993




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