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The patient was a 24-year-old woman with a 2-year history of systemic lupus erythematosus, a history of central nervous system (CNS) involvement in the recent past, and autoimmune hemolytic anemia. The most frequently reported autoimmune diseases among crystalline-silica exposed workers are scleroderma, rheumatoid arthritis, systemic lupus erythematosus, autoimmune hemolytic anemia, and dermatomyositis or dermatopolymyositis (NIOSH 2002; Steenland and Goldsmith 1995; Tervaert et al. Ravaged by autoimmune hemolytic anemia, West came dangerously close to brain damage and death. |
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