Careful physical examination of the site of procedure before the caudal
pain procedure should be performed because it could show the patient’s
abnormal anatomical conditions. An abdominal binder could be used
effectively in a patient showing CSF leakage in the coccygeal area,
which is not controlled by conventional compressive dressing.
Electron microscopy and energy dispersive x-ray microanalysis (EDXA) are found to be very useful tools for identification of etiologic agents in pneumoconiosis or interstitial pulmonary disorders. Pulmonary interstitial fibrosis and granulomatosis are frequently associated with occupational and environmental pollution. Numerous reports of pneumoconiosis in various occupations such as coal and gold miners are presented in the literature. However, there is no known documented case of pulmonary changes in workers in the sandpaper industry. This study reports a rare case of pulmonary granulomatosis containing deposits from abrasives of sandpaper diagnosed by using EDXA.