Resumo
Definição
História e exame físico
Principais fatores diagnósticos
- exposição ocupacional
- exposição de duração prolongada
- história de tabagismo
Outros fatores diagnósticos
- dispneia ao esforço
- tosse
- estertores
- exposição indireta
- dor torácica
- baqueteamento digital
Fatores de risco
- dose cumulativa de asbesto inalado
- tabagismo
Investigações diagnósticas
Primeiras investigações a serem solicitadas
- radiografia torácica: posteroanterior (PA) e lateral
- testes de função pulmonar
Investigações a serem consideradas
- tomografia computadorizada (TC) de alta resolução do tórax
- biópsia pulmonar
- lavagem brônquica
Algoritmo de tratamento
todos os pacientes
Colaboradores
Autores
Kenneth D. Rosenman, MD
Professor of Medicine
Division of Occupational and Environmental Medicine
Michigan State University
East Lansing
MI
Divulgaciones
KDR declares that he has no competing interests. KDR is the author of an article cited in this topic.
Revisores por pares
Henry A. Anderson, MD
Chief Medical Officer
Wisconsin Division of Public Health
Madison
WI
Divulgaciones
HAA declares that he has no competing interests.
Keir Lewis, MD
Senior Clinical Lecturer
Institute of Life Sciences
Swansea University
Swansea
UK
Divulgaciones
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
Divulgaciones
TJK declares that he has no competing interests.
Referencias
Artículos principales
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.Texto completo Resumen
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.Texto completo Resumen
Rom WN. Asbestosis, pleural fibrosis and lung cancer. In: Rom WN, Markowitz SB, eds. Environmental and occupational medicine 4th ed. Philadelphia: Lippincott Williams and Wilkins; 2007:298-316.
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. Resumen
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.Texto completo Resumen
Artículos de referencia
Una lista completa de las fuentes a las que se hace referencia en este tema está disponible para los usuarios con acceso a todo BMJ Best Practice.
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