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A Clinical Guide to Occupational and Environmental Lung DiseasesPneumoconiosis in the Twenty-First Century

A Clinical Guide to Occupational and Environmental Lung Diseases: Pneumoconiosis in the... [While defined pathologically, it is uncommon that the diagnosis of pneumoconiosis necessitates tissue biopsy. The approach initially used by physicians for diagnosis of asbestosis has been extrapolated to all pneumoconioses. This requires meeting criteria of (1) evidence of structural pathology consistent with dust-related disease as documented by imaging, (2) evidence of causation by dust exposure as documented by the occupational and environmental history or markers of exposure, and (3) exclusion of confounders. The first criterion for the diagnosis requires evidence of structural pathology consistent with dust-related disease, and this is most frequently met using chest X-rays interpreted by either a radiologist or a B reader. If there are abnormalities on the chest X-ray, these should be confirmed using a CT scan of the chest. The second criterion requires evidence of causation by dust demanding the physician to obtain a detailed history into all full and part jobs and potential environmental exposures from hobbies. The third and final criterion for the diagnosis of pneumoconiosis requires exclusion of confounders. The most frequent confounders for pneumoconiosis include cigarette smoking, granulomatous disease, aging, and obesity. Therefore, evaluation of the patient for pneumoconiosis must include a history (with emphasis on the history of respiratory illness, past medical history, occupational history, and smoking history), physical examination, pulmonary function tests (including spirometry, lung volumes, and diffusing capacity), and a chest X-ray; a CT scan of the chest may be obtained depending on the interpretation of the posteroanterior film.] http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png

A Clinical Guide to Occupational and Environmental Lung DiseasesPneumoconiosis in the Twenty-First Century

Part of the Respiratory Medicine Book Series
Editors: Huang, Yuh-Chin T.; Ghio, Andrew J.; Maier, Lisa A.
Ghio, Andrew J.
Springer Journals — Sep 19, 2012
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17 pages

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Publisher
Humana Press
Copyright
© Springer Science+Business Media New York 2012
ISBN
978-1-62703-148-6
Pages
171 –187
DOI
10.1007/978-1-62703-149-3_9
Publisher site
See Chapter on Publisher Site

Abstract

[While defined pathologically, it is uncommon that the diagnosis of pneumoconiosis necessitates tissue biopsy. The approach initially used by physicians for diagnosis of asbestosis has been extrapolated to all pneumoconioses. This requires meeting criteria of (1) evidence of structural pathology consistent with dust-related disease as documented by imaging, (2) evidence of causation by dust exposure as documented by the occupational and environmental history or markers of exposure, and (3) exclusion of confounders. The first criterion for the diagnosis requires evidence of structural pathology consistent with dust-related disease, and this is most frequently met using chest X-rays interpreted by either a radiologist or a B reader. If there are abnormalities on the chest X-ray, these should be confirmed using a CT scan of the chest. The second criterion requires evidence of causation by dust demanding the physician to obtain a detailed history into all full and part jobs and potential environmental exposures from hobbies. The third and final criterion for the diagnosis of pneumoconiosis requires exclusion of confounders. The most frequent confounders for pneumoconiosis include cigarette smoking, granulomatous disease, aging, and obesity. Therefore, evaluation of the patient for pneumoconiosis must include a history (with emphasis on the history of respiratory illness, past medical history, occupational history, and smoking history), physical examination, pulmonary function tests (including spirometry, lung volumes, and diffusing capacity), and a chest X-ray; a CT scan of the chest may be obtained depending on the interpretation of the posteroanterior film.]

Published: Sep 19, 2012

Keywords: Silicosis; Anthracosis; Asbestosis; Chronic obstructive pulmonary disease

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