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September 5, 1936

BLACK SPUTUM: ANTHRACOSIS AND SILICOSIS IN THE SAME PATIENT

Author Affiliations

Evanston, Ill.; Chicago

JAMA. 1936;107(10):778-780. doi:10.1001/jama.1936.92770360001008
Abstract

Pigmentation of the lungs following the inhalation of air containing small carbon particles is a well known condition. Anthracosis is so commonly asymptomatic that it is generally regarded as a harmless pathologic curiosity. The inhalation of silica dust, however, is responsible for definite symptoms and marked lung changes. Recently we were afforded the opportunity of observing a patient in whom the harmlessness of anthracosis and the marked symptomatology of silicosis were demonstrated. The expectoration of large quantities of black sputum with the clinical observations of silicosis made this case unusual enough to report.

REPORT OF CASE  F. K., a white man, aged 56, entered ward 15 of the Cook County Hospital Feb. 5, 1935, complaining of cough, extreme fatigue on exertion, and occasional night sweats. Early in December he "caught cold", which condition lasted for ten days, although the fatigue and the

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