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Dust‐related diffuse fibrosis in a coal mine worker from New South Wales

Clare Wood, Elizabeth J Silverstone and Deborah H Yates
Med J Aust 2022; 216 (4): . || doi: 10.5694/mja2.51418
Published online: 7 March 2022

A 77‐year‐old never‐smoker presented with an abnormal screening chest x‐ray. He was still working, having been employed in coal mining for more than 40 years. He had spent more than 30 years working on the coal face and had also worked on roof bolting, in mine development and on ventilation support. Recently, he had worked as a coal mines inspector, a job for which he had been chosen because of his broad experience. He had undergone periodic medical examinations during all his employment without a previously abnormal result. The patient’s last chest x‐ray had been 4 years before his diagnosis. Although results had been reported as normal at the time, review of this image had later shown early lower zone interstitial changes (International Labour Organization category 0/1), and the recent chest x‐ray showed category 1/1 changes (subtle abnormalities).


  • 1 UQ Health Care, University of Queensland, Brisbane, QLD
  • 2 St Vincent's Hospital, Sydney, NSW


Correspondence: d.yates@unsw.edu.au

Competing interests:

Deborah Yates has assessed and treated patients with coal mine dust lung diseases who have been referred by Coal Services NSW. These referrals have all been for clinical purposes and billed as such.

  • 1. Sim M, Glass D, Hoy R, et al. Review of respiratory component of the Coal Mine Workers’ Health Scheme for the Queensland Department of Natural Resources and Mines: final report. Monash Centre for Occupational and Environmental Health and University of Illinois at Chicago, 2016. www.resources.qld.gov.au/__data/assets/pdf_file/0009/383940/monash‐qcwp‐final‐report‐2016.pdf (viewed Apr 2021).
  • 2. Cohen RA, Go LH, Green FH. Coal mine lung dust disease. In: Taylor AN, Cullinan P, Blanc P, Pickering A editors. Parkes’ occupational lung disorders. 4th ed. CRC Press, 2017: pp. 207–224.
  • 3. Cockroft AE. The importance of irregular opacities on the chest radiographs of coalworkers [MD thesis]. London University, 1984. https://spiral.imperial.ac.uk/bitstream/10044/1/38030/2/Cockcroft‐AE‐1984‐MD‐Thesis.pdf (viewed Jan 2021).
  • 4. McConnochie K, Green FHY, Vallyathan V, et al. Interstitial fibrosis in coal workers — experience in Wales and West Virginia. Ann Occup Hyg 1988; 32: 553–560.
  • 5. Cohen RA, Patel A, Green F. Lung disease caused by exposure to coal mine and silica dust. Semin Respir Crit Care Med 2008; 29: 651–661.
  • 6. Edwards R, McBean R, Parsons R, Newbigin K. A respiratory review of Australian men with coal mine dust lung disease. Eur Respir J 2019; 54: OA487.
  • 7. Raghu G, Remy‐Jardin M, Myers JL, et al. Diagnosis of idiopathic pulmonary fibrosis: an official ATS/ERS/JRS/ALAT clinical practice guideline. Am J Respir Crit Care Med 2018; 198: e44–e68.
  • 8. Brichet A, Tonnel AB, Brambilla E, et al. Chronic interstitial pneumonia with honeycombing in coal workers. Sarcoidosis Vasc Diffuse Lung Dis Off J 2002; 19: 211–219.
  • 9. Perrett J, Miles S, Brims F, Newbegin K, et al. Respiratory surveillance for coal mine dust and artificial stone‐exposed workers. TSANZ position paper. Respirology 2020; 25: 1193–1202.

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