Pulmonary talcosis 10 years after brief teenage exposure to cosmetic talcum powder.

Amarah Shakoor, Aga Khan University
Arsalan Rahatullah, Aga Khan University
Adil Aijaz Shah, Aga Khan University
Ali Bin Sarwar Zubairi, Aga Khan University


Pulmonary talcosis is a rare but debilitating variant of pneumoconiosis often presenting with isolated non-specific symptoms of progressive exertional dyspnoea or cough. Occupational exposure to talc dust and intravenous drug abuse are well-recognised aetiological factors with only a few cases related to cosmetic talc exposure being reported to date. The authors report a case of a young woman in whom a mere 4 month ritual of inhaling cosmetic talcum powder led to full-blown pulmonary talcosis being diagnosed 10 years later. The importance of a taking a pertinent history relating to environmental exposures in all Patients presenting with respiratory symptoms is re-established here.