A welder case with secondary haemochromatosis, which rarely accompanies pneumoconiosis.

Excessive iron accumulation in the body can cause serious health problems, yet occupational factors have not been extensively addressed in the research literature. Welding fumes contain iron, which can be absorbed by inhalation, possibly leading toiron overload and impaired iron homeostasis in welders. We present a case of a welder with secondary haemochromatosis and welder's lung after more than 20 years in the metal industry. This highlights the need for risk management and comprehensive health monitoring, including ferritin and transferrin saturation, in pre-employment health assessment and periodic workplace health surveillance. Regular monitoring, early detection and proper workplace safety protocols can reduce the risk. Addressing both pulmonary and systemic risks through multidisciplinary evaluations is essential. We aimed to provide a new perspective by emphasizing iron homeostasis assessment in welders, which may help prevent underdiagnosed cases of occupational iron overload and promote targeted preventive strategies.