JAMES E. CONE, M.D., M.P.H.
To the editor: Dr. Crystal (1) suggests that in modern clinical practice the diagnosis of sarcoidosis is usually unambiguous. This statement may, however, mislead readers who are confronted with a disease that at times closely resembles the clinical, pathologic, and radiologic presentation of sarcoidosis but that has a very different prognosis and potential for prevention: beryllium disease (2).
An occupational history may be deceptive. Exposure to beryllium may occur without a worker's knowledge, due to maintenance of trade secrecy in industry or to exposure to material such as mineral ores contaiminated with beryllium at low, but nonetheless biologically significant, levels.
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CONE JE. Sarcoidosis and Beryllium Disease. Ann Intern Med. 1981;94:822. doi: 10.7326/0003-4819-94-6-822_1
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Published: Ann Intern Med. 1981;94(6):822.
Emergency Medicine, Interstitial Lung Disease, Pulmonary/Critical Care.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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