Summary
Definition
History and exam
Key diagnostic factors
- occupational exposure
- longer duration of exposure
- smoking history
Other diagnostic factors
- dyspnea on exertion
- cough
- crackles
- indirect exposure
- chest pain
- clubbing
Risk factors
- cumulative dose of inhaled asbestos
- cigarette smoking
Diagnostic tests
1st tests to order
- chest x-ray: posterior-anterior (PA) and lateral
- pulmonary function tests
Tests to consider
- high-resolution CT chest
- lung biopsy
- bronchial lavage
Treatment algorithm
all patients
Contributors
Authors
Kenneth D. Rosenman, MD
Professor of Medicine
Division of Occupational and Environmental Medicine
Michigan State University
East Lansing
MI
利益声明
KDR declares that he has no competing interests. KDR is the author of an article cited in this topic.
同行评议者
Henry A. Anderson, MD
Chief Medical Officer
Wisconsin Division of Public Health
Madison
WI
利益声明
HAA declares that he has no competing interests.
Keir Lewis, MD
Senior Clinical Lecturer
Institute of Life Sciences
Swansea University
Swansea
UK
利益声明
KL declares that he has no competing interests.
Thomasz J. Kuzniar, MD, PhD
Assistant Professor
Division of Pulmonary and Critical Care Medicine
Evanston Northwestern Healthcare
Evanston
IL
利益声明
TJK declares that he has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
参考文献
关键文献
American Thoracic Society. Diagnosis and initial management of nonmalignant diseases related to asbestos. Am J Respir Crit Care Med. 2004 Sep 15;170(6):691-715.全文 摘要
Wolff H, Vehmas T, Oksa P, et al. Asbestos, asbestosis, and cancer, the Helsinki criteria for diagnosis and attribution 2014: recommendations. Scand J Work Environ Health. 2015 Jan;41(1):5-15.全文 摘要
Markowitz SB, Levin SM, Miller A, et al. Asbestos, asbestosis, smoking, and lung cancer. New findings from the North American insulator cohort. Am J Respir Crit Care Med. 2013 Jul 1;188(1):90-6. 摘要
Banks DE, Shi R, McLarty J, et al. American College of Chest Physicians consensus statement on the respiratory health effects of asbestos. Results of a Delphi study. Chest. 2017 Sep 18;4(1):e000223.全文 摘要
参考文献
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
鉴别诊断
- Idiopathic pulmonary fibrosis
- Connective tissue disease
- Hypersensitivity pneumonitis (HP)
更多 鉴别诊断指南
- Consensus report: asbestos, asbestosis and cancer: the Helsinki criteria for diagnosis and attribution 2014
- Diagnosis and initial management of nonmalignant diseases related to asbestos
更多 指南
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