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Occupational lung disease

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What is occupational lung disease?

A number of lung diseases can result from workplace (occupational) exposure to substances that irritate your lungs. Some workplaces are worse for this than others. Common industries that pose such risks include mining, textiles and plastics, but there are many others. Breathing in some substances can have effects within hours, but sometimes it can take many years for disease to develop.

Signs and symptoms

General symptoms of lung disease include:

Anatomy of the lungs, showing the areas that may be affected by occupational lung disease. 

Below is a list of common occupational lung diseases, which describes specific symptoms and industries relating to each type.

Types

Asbestosis

Asbestos was once commonly used for insulation in buildings and houses. Although it is no longer used, it is still present in many older buildings, so it is important to check for it before going through with any renovations that might expose you to it.

Asbestosis is a disease caused by inhaling small asbestos fibers, which build up over time and results in scarring of the lungs. This makes the lungs become stiff and causes difficulty breathing.

Other symptoms of asbestosis include:

Asbestosis gets worse over time and typically does not occur until decades after exposure. Inhaling asbestos can also result in lung cancer and a thickening, or cancer, of the lining of the lungs. Smoking also increases your risk of developing asbestosis and lung cancer.

Ardystil syndrome

Ardystil syndrome is caused by breathing in a substance called Acramin FWN or FWR, which is an aerosol that was used a lot in the textile industry. It tends to result in scarring of the lungs, even with treatment. It eventually leads to respiratory failure and has a poor prognosis.

Berylliosis

Berylliosis is caused by breathing in a light metal called beryllium. It results in small nodules that are often located near the bronchi in clusters.

Industries in which beryllium exposure occurs include:

Calcicosis

Calcicosis is caused by breathing in limestone dust. It is uncommon and results in nodules forming in the lungs.

Hypersensitivity pneumonitis

Hypersensitivity pneumonitis is an inflammatory condition caused by breathing in bacteria, fungi or animal proteins. Symptoms of hypersensitivity pneumonitis include:

Symptoms typically go away within a couple of hours or days after you remove yourself from the source of exposure. If symptoms occur over the long-term, it can be a sign the lungs are scarred.

Industrial jobs that can cause this condition include:

Lung cancer

Although there are other causes of lung cancer, especially smoking, it can also result from workplace exposure to cancer-causing substances (carcinogens). Occupations that carry a higher risk of lung cancer include:

Silicosis

Silicosis is a disease caused by breathing in dust containing crystalline silica. Particles in the dust enter the alveoli in the lungs, resulting in impaired oxygen and carbon dioxide exchange in the blood. It can also increase your susceptibility to infections such as tuberculosis.

Symptoms of silicosis include:

Industrial jobs that can cause silicosis include:

Talcosis

Talcosis occurs when you breathe in talc, more properly known as hydrated magnesium silicate. It can also occur if you inject it into your bloodstream, as some recreational drug users unintentionally do. It causes inflammation that leads to scarring of the lungs.

Construction and painting are industries associated with this condition, along with jobs including the manufacture of:

Methods for diagnosis

A chest X-ray is initially performed to determine how severe the problem is. Additional tests that may be done include a computerized tomography (CT) scan of the lungs, lung function tests, and examining your airways by putting a thin tube with a camera down them (bronchoscopy). A tissue sample (biopsy) of your lung may also be taken to be tested in the lab.

Types of treatment

Occupational lung diseases have no specific treatment. People are encouraged to stop smoking if they do smoke, and to remove the source of exposure to substances causing disease. If there is a continuing risk of exposure, this will inform the decision about whether or not to stay at work. For those who are short of breath, inhalers such as salbutamol can be used. Oxygen therapy may also be used.

Potential complications

Although lung cancer is one of the occupational lung diseases that can result from exposure to cancer-causing substances (carcinogens), it also occurs as a complication of other occupational lung diseases, such as asbestosis.

Prognosis

Prognosis varies according to the type of occupational lung disease you have. In general, there is no cure, and the more scarring to your lungs, the poorer the prognosis.

Prevention

The only way to completely prevent occupational lung diseases is to avoid the occupations they are common in. However, with proper health and safety regulations in place, there is little need to worry about what are very rare lung diseases. Such safety precautions include:

10 Most frequently asked questions (FAQs)

What is occupational lung disease?
Occupational lung disease occurs when you breathe in substances in your workplace that damage your lungs. This causes scarring of the lung tissue, which is irreversible, and can eventually lead to difficulty breathing and, potentially, death.
What are the symptoms of occupational lung disease?
Symptoms of occupational lung disease are coughing, short breath, chest pain and tightness and difficulty breathing.
What causes occupational lung disease?
Occupational lung disease is caused by breathing in substances that damage your lungs, such as asbestos or coal dust, among others.
Who gets occupational lung disease?
Common industries in which lung disease occurs include mining, farming, plastic or textile work, ceramics, automotive, welding, painting and metal production.
How is occupational lung disease diagnosed?
A chest X-ray can be performed to detect damage to the lungs. Other tests that are performed include a CT scan of the lungs, lab tests on lung fluid and tissue, and a lung function test.
How is occupational lung disease treated?
There is no treatment for specific occupational lung diseases. The best thing to do is to avoid the substance that is causing, or has the potential to cause, a problem. If the lung disease progresses, you may be treated with oxygen therapy.
Can occupational lung disease be prevented?
The only way to prevent occupational lung disease is to avoid the occupations it is common in. Fortunately, with safety regulations in many places, many occupational lung diseases are becoming increasingly uncommon.
Are there different types of occupational lung disease?
There are many types of occupational lung disease. They are categorized by the different inhaled substances that lead to the lung damage.
What is the outlook for occupational lung disease?
Outcomes of occupational lung disease vary according to the type of lung disease you have. If you identify it early and avoid the offending substance, you can limit the damage done to your lungs and avoid the complications of lung disease - namely, breathing difficulties and death.
What increases the chances of developing occupational lung disease?
Working in industries where these conditions are more common, such as the automotive, mining, farming and welding industries, among many others, will increase the chances of developing occupational lung disease.

Related topics

Asthma

Asthma is a common respiratory condition where irritants trigger the airways to become inflamed and narrowed, which makes breathing difficult. During attacks, individuals may notice wheezing, coughing, tightness in the chest and/or shortness of breath. It is important to know how to correctly manage and prevent asthma attacks.

Bronchiectasis

Bronchiectasis is a lung disease in which the airways (bronchi) become damaged and scarred by repeated lung infections. It can cause a build-up of mucus in the airways, leading to persistent coughing and difficulty breathing.

Bronchiolitis

Bronchiolitis is a type of chest infection that commonly affects infants under 12 months of age. It occurs when the very small airways in the lungs, called the bronchioles, become inflamed and swell up. Most cases of bronchiolitis start to get better on their own within a few days. However, some cases can be severe and need to be treated in hospital.

Chronic obstructive pulmonary disease

Chronic obstructive pulmonary disease, or COPD, covers conditions affecting the lungs. Chronic bronchitis and emphysema are the two main conditions, usually caused by smoking. Medications and lifestyle changes can help slow the progression of the disease.

About this article

Title: Occupational lung disease

Author: Dr Idan Ben-Barak PhD, MSc, BSc (Med)

First Published: 11 Jul 2015

Last reviewed: 17 Jan 2022

Category: Information on Occupational lung disease

Average rating: 4.5 out of 5 (1556 votes)

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