Silicosis presenting as progressive massive fibrosis: A case series

Progressive massive fibrosis (PMF) is a severe form and late-stage chronic pneumoconiosis defined by the clustering of silicotic nodules fused with connective tissue in silicosis and coal macules surrounded by fibrous tissue in coal workers’ pneumoconiosis. High levels of exposure to silica and coal mine dust are important risk factors for the development of PMF. A thorough occupational history and radiological investigation would help in the diagnosis and prevention of this condition, as there is no effective treatment. Hence, primary prevention is important as it has high mortality and morbidity. Newer health strategies, including periodical screening, evaluation, treatment, and awareness, are needed among workers who are exposed to these health hazards.