Pneumoconiosis medical therapy

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Dushka Riaz, MD

Overview

There is no treatment for pneumoconiosis; the mainstay of therapy is supportive care, managing complications and monitoring the progress of the disease. Patients should stop smoking, get vaccinated and limit their exposure to the cause of their condition. [1]

Medical Therapy

There is no effective drug treatment for most pneumoconiosis. Cases that have progressed can be administered oxygen and severe cases would benefit from lung transplants. Asbestosis is also associated with lung cancer with an increased risk if the patient smokes and therefore patients are advised to quit smoking. It is important to advise the patient's occupation of their exposure and prevent it further with the availability of personal protective equipment. Patients should be vaccinated against influenza and pneumococcus and offered bronchodilators. [2] [1] [3] [4] [5]

References

  1. 1.0 1.1 Cookson W, De Klerk N, Musk AW, Glancy JJ, Armstrong B, Hobbs M (1986). "The natural history of asbestosis in former crocidolite workers of Wittenoom Gorge". Am Rev Respir Dis. 133 (6): 994–8. doi:10.1164/arrd.1986.133.6.994. PMID 3013058.
  2. Hayes D, Hayes KT, Hayes HC, Tobias JD (2015). "Long-Term Survival After Lung Transplantation in Patients with Silicosis and Other Occupational Lung Disease". Lung. 193 (6): 927–31. doi:10.1007/s00408-015-9781-z. PMID 26267595.
  3. Pelucchi C, Pira E, Piolatto G, Coggiola M, Carta P, La Vecchia C (2006). "Occupational silica exposure and lung cancer risk: a review of epidemiological studies 1996-2005". Ann Oncol. 17 (7): 1039–50. doi:10.1093/annonc/mdj125. PMID 16403810.
  4. Wilt JL, Banks DE, Weissman DN, Parker JE, Vallyathan V, Castranova V; et al. (1996). "Reduction of lung dust burden in pneumoconiosis by whole-lung lavage". J Occup Environ Med. 38 (6): 619–24. doi:10.1097/00043764-199606000-00014. PMID 8794962.
  5. Sood A (2009). "Current treatment of chronic beryllium disease". J Occup Environ Hyg. 6 (12): 762–5. doi:10.1080/15459620903158698. PMC 2774897. PMID 19894178.

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