Asbestosis

Reviewed 06/2017
 


BASICS

DESCRIPTION

  • Pneumoconiosis caused by inhalation of asbestos fibers often through environmental or occupational exposure.

  • Characterized by slowly progressive pulmonary fibrosis

  • Clinical presentatio...

DIAGNOSIS

HISTORY

  • Obtain a thorough history of any respiratory symptoms. The most common symptoms include the following:

    • Shortness of breath

    • Dry cough

    • Chest pain or tightness

  • Risk of asbestos exposure sh...

TREATMENT

GENERAL MEASURES

  • No curative treatment for asbestosis

  • Clinical approach should focus on prevention and symptom relief.

  • Preventive measures

    • Avoidance of further asbestos exposure

    • Smoking cessati...

ONGOING CARE

FOLLOWUP RECOMMENDATIONS

MONITORING

  • Ongoing surveillance for persons with significant exposure history or current exposure with CXR and pulmonary function testing every 3 to 5 years (3)[C]

  • P...

REFERENCES

Centers for Disease Control and Prevention. Asbestosis-related years of potential life lost before age 65 years—United States, 1968–2005. MMWR Morb Mortal Wkly Rep.  2008;57(49):1321–...

ADDITIONAL READING

  • Abejie BA, Wang X, Kales SN et al. Patterns of pulmonary dysfunction in asbestos workers: a cross-sectional study. J Occup Med Toxicol.  2010;5:12. [View Abstract on OvidInsigh...

CODES

ICD10

  • J61 Pneumoconiosis due to asbestos and other mineral fibers

  • J84.10 Pulmonary fibrosis, unspecified

  • J92.0 Pleural plaque with presence of asbestos

ICD9

  • 501 Asbestosis

  • 515 Postinflammatory pulmona...

PEARLS

  • The increased latency period from initial exposure to asbestos to onset of symptoms can span many years.

  • Symptoms range from asymptomatic to severe disease requiring palliative care.

  • There is no ...

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