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“Samosa” Pneumoconiosis: A Case of Pulmonary Talcosis Uncovered During a Medicolegal Autopsy

Nath, Dhritiman MD*; Vaideeswar, Pradeep MD; Chaudhary, Jayashri MD; Vaz, Walter MD*

American Journal of Forensic Medicine & Pathology: March 2014 - Volume 35 - Issue 1 - p 11–14
doi: 10.1097/PAF.0000000000000076
Case Reports

Abstract: Talcosis is a rare form of pneumoconiosis caused by long-term exposure to talc (hydrous magnesium silicate) through inhalation or intravenous exposures. Although it occurs commonly as an occupational hazard or is due to abuse/overuse of talc, talcosis in the course of food adulteration is seldom or hardly reported. We present a case of talcosis in a worker who had considerable exposure to talc during the initial preparation of “samosa,” a triangular fried Indian savory. There were typical pulmonary histological findings of talcosis with extensive deposition of birefringent crystals in histiocytes. On account of this unusual pathogenesis, we have coined a new terminology “samosa pneumoconiosis” to describe this condition.

From the Departments of *Forensic Medicine and †Pathology (Cardiovascular and Thoracic Division), Seth GS Medical College, Mumbai, India.

Manuscript received August 20, 2012; accepted April 21, 2013.

The authors report no conflicts of interest.

Reprints: Pradeep Vaideeswar, MD, Department of Pathology (Cardiovascular and Thoracic Division), Seth GS Medical College, Parel, Mumbai 400 012, India. E-mail: shreeprajai@yahoo.co.in.

© 2014 by Lippincott Williams & Wilkins.