Summary
Definition
Anamnesis y examen
Principales factores de diagnóstico
- exposição ocupacional
- exposição de duração prolongada
- história de tabagismo
Otros factores de diagnóstico
- dispneia ao esforço
- tosse
- estertores
- exposição indireta
- dor torácica
- baqueteamento digital
Factores de riesgo
- dose cumulativa de asbesto inalado
- tabagismo
Pruebas diagnósticas
Primeras pruebas diagnósticas para solicitar
- radiografia torácica: posteroanterior (PA) e lateral
- testes de função pulmonar
Pruebas diagnósticas que deben considerarse
- tomografia computadorizada (TC) de alta resolução do tórax
- biópsia pulmonar
- lavagem brônquica
Algoritmo de tratamiento
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
Disclosures
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
Disclosures
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.
References
Key articles
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.Full text Abstract
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.Full text Abstract
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. Abstract
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.Full text Abstract
Reference articles
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Differentials
- Fibrose pulmonar idiopática
- Doença do tecido conjuntivo
- Pneumonite por hipersensibilidade (PH)
More DifferentialsGuidelines
- Malignant pleural mesothelioma: ESMO clinical practice guidelines for diagnosis, treatment and follow-up
- Investigation and management of malignant pleural mesothelioma
More Guidelines
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