Several studies have shown an increased mortality rate for different types of tumors, respiratory disease and cardiovascular morbidity associated with foundry work. Airborne particles were investigated in a steelmaking foundry using an electric low-pressure impactor (ELPI+™), a Philips Aerasense Nanotracer and traditional sampling equipment. Determination of metallic elements in the collected particles was carried out by inductively coupled plasma mass spectrometry. The median of ultrafine particle (UFP) concentration was between 4.91 × 10 3 and 2.33 × 10 5 part/cm 3 (max. 9.48 × 10 6 part/cm 3 ). Background levels ranged from 1.97 × 10 4 to 3.83 × 10 4 part/cm 3 . Alveolar and deposited tracheobronchial surface area doses ranged from 1.3 × 10 2 to 8.7 × 10 3 mm 2 , and 2.6 × 10 1 to 1.3 × 10 3 mm 2 , respectively. Resulting inhalable and respirable fraction and metallic elements were below limit values set by Italian legislation. A variable concentration of metallic elements was detected in the different fractions of UFPs in relation to the sampling site, the emission source and the size range. This data could be useful in order to increase the knowledge about occupational exposure to fine and ultrafine particles and to design studies aimed to investigate early biological effects associated with the exposure to particulate matter in the foundry industries.Metals 2019, 9, 163 2 of 20 workers, during the processing stages, could be exposed to a multitude of breathable dust types and aerosols, such as metal fumes, polycyclic aromatic hydrocarbons (PAH), mineral powders, resins and isocyanates [7]. Among the several toxic and carcinogenic substances contained in foundry dust, heavy and transition metal fumes represent a major health concern, as they can induce local inflammation in the lung tissue, lipid peroxidation of cell membranes and oxidative damage to the genome [8,9].Several studies have shown that different hot processes in the metallurgical industry have the capacity to generate high concentrations of sub-micrometric particles. In particular, important number concentrations of ultrafine particles (UFPs, <100 nm in diameter) were generated as combustion products or in saturated vapors [10][11][12][13][14][15][16][17][18]. UFPs may have more pronounced toxic effects than larger particles, due to their larger surface area to unit mass ratio, which determines their peculiar physicochemical properties and increased biological activity [19][20][21][22][23]. Recently, some studies have shown an association between ultrafine particulate exposure and health effects on the cardiovascular and respiratory tract [24][25][26], however, epidemiological evidence on UFP-related adverse health effects is still limited and subject to disagreement [27][28][29][30][31].Some studies have focused on surface-related effects [24,32-34], particle-related effects [25,[35][36][37], mass-related effects [38] or effects related to metallic elements contained in the particulate matter [39][40][41]; however, the role that the different (...