{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T00:02:50Z","timestamp":1769126570939,"version":"3.49.0"},"reference-count":13,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,4]],"date-time":"2026-01-04T00:00:00Z","timestamp":1767484800000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Pulmonary silicosis, a preventable occupational lung disease caused by chronic inhalation of crystalline silica dust in industries like construction, mining, and stone masonry, remains underdiagnosed in TB\u2010endemic regions due to overlapping clinical and radiological features. A 63\u2010year\u2010old man presented with upper gastrointestinal bleeding, but a silent lung abnormality stole the clinical spotlight. In a TB\u2010endemic setting, incidental reticulonodular opacities triggered a full tuberculosis work\u2010up, even in the absence of cough or respiratory symptoms. Yet it was only after a delayed occupational history revealed three decades of unprotected mosaic tiling that silicosis was considered. High\u2010resolution CT and transbronchial lung biopsy later confirmed the diagnosis, but not before the patient's course was complicated by obstructive uropathy and sepsis. This case highlights the diagnostic pitfalls of radiologic overlap between silicosis and tuberculosis, as well as the crucial role of occupational exposure history in reaching the correct diagnosis.<\/jats:p>","DOI":"10.1002\/ccr3.71759","type":"journal-article","created":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T03:56:52Z","timestamp":1767585412000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Silicosis Diagnosed Using Transbronchial Lung Biopsy: The Pivotal Role of Occupational History"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0750-3087","authenticated-orcid":false,"given":"Boon Hau","family":"Ng","sequence":"first","affiliation":[{"name":"Respiratory Unit, Department of Medicine, Faculty of Medicine Universiti Kebangsaan Malaysia, Hospital Canselor Tuanku Muhriz  Kuala Lumpur Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nor Safiqah","family":"Sharil","sequence":"additional","affiliation":[{"name":"Internal Medical Unit, Faculty of Medicine and Health Science Universiti Sains Islam Malaysia  Nilai Negeri Sembilan Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hsueh Jing","family":"Low","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Critical Care, Faculty of Medicine Universiti Kebangsaan Malaysia, Hospital Canselor Tuanku Muhriz  Kuala Lumpur Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nik Nuratiqah Nik","family":"Abeed","sequence":"additional","affiliation":[{"name":"Respiratory Unit, Department of Medicine, Faculty of Medicine Universiti Kebangsaan Malaysia, Hospital Canselor Tuanku Muhriz  Kuala Lumpur Malaysia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Badrul Iskandar Abdul","family":"Wahab","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Laboratory Services, 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