Asbestosis

Asbestosis is a chronic disease characterized by scarring in the lungs, which leads to long-term breathing complications. It is caused exclusively by exposure to asbestos, but it is usually not diagnosed until decades after the exposure occurred.

Asbestosis is a type of pulmonary fibrosis, a condition where lung tissue becomes scarred over time. It is not a type of cancer, but it has the same cause as mesothelioma and other asbestos-related cancers.

Asbestosis Fact

  • Incurable lung disease that makes breathing progressively more difficult

  • Usually caused by years of occupational asbestos exposure

  • Contributing cause of death for more than 1,000 Americans each year

  • Signifies an elevated risk of developing asbestos-related cancer

Most cases trace back to consistent exposure to asbestos-containing materials in construction sites, ships and industrial facilities. For an asbestos-related illness to develop, it usually takes years of regular asbestos exposure, followed by a latency period that may last decades before symptoms present.

There is no cure for asbestosis, but treatment can alleviate symptoms.

Because this disease is similar to other types of pulmonary fibrosis, diagnosing asbestosis requires thorough medical and occupational histories in addition to medical testing. Most patients diagnosed today were exposed to asbestos before the 1970s, when the U.S. began to restrict the use of the toxic mineral.

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Despite asbestos abatement efforts throughout the country, the demolition or renovation of older buildings can put Americans at risk of asbestos exposure. Furthermore, 125 million people around the world are still regularly exposed to asbestos in the workplace, according to the World Health Organization’s estimate.

Asbestosis takes less time to develop than cancer, so an asbestosis diagnosis signals a high risk of developing mesothelioma in the future.

Symptoms of Asbestosis

When scar tissue forms around the lungs’ microscopic air sacs, it gradually becomes harder for them to expand and fill with fresh air.

This can cause a series of symptoms, including:

  • Shortness of breath
  • Persistent dry cough
  • Chest tightness and pain
  • Fatigue
  • Loss of weight and appetite
  • Crackling sound when breathing

The stiffening of the lungs causes the coughing, discomfort and crackling sound associated with asbestosis, and it also results in less oxygen being delivered to the blood, causing shortness of breath. Because the body relies on oxygen for energy, chronic breathing difficulties lead to fatigue and weight loss.

Advanced Symptoms of Asbestosis

Pulmonary hypertension: The formation of scar tissue may also constrict arteries and cause high blood pressure in the lungs, or pulmonary hypertension. This is a different condition than systemic hypertension, but it still forces the heart to work harder, potentially leading to heart disease and heart failure.

Clubbed fingers and toes: When the lungs deliver insufficient oxygen to the blood, a symptom called “clubbing” may arise. The tips of the toes and fingers appear wider and rounder than normal. Fingernails and toenails may become deformed because of the lack of oxygen reaching the body’s extremities.

Managing Symptoms of Asbestosis

Patients can minimize symptoms of asbestosis by taking steps to improve their lifestyle:

  • Eat a well-balanced diet and stay hydrated.

  • Get adequate sleep every night and take short rests during the day.

  • Exercise regularly without overexerting yourself.

  • Prevent respiratory infections by getting flu and pneumonia vaccines, washing your hands and avoiding large crowds.

  • Avoid air pollution and tobacco smoke.

Asbestosis Treatment Options

Asbestosis is an irreversible condition. With the exception of lung transplantation, all treatment options are palliative, meaning they address the symptoms of asbestosis to improve the patient’s quality of life.

Because the condition gets worse over time, patients require increased treatment as they age.

  • Supplemental oxygen from a portable oxygen tank is often necessary for patients with reduced lung capacity. The tank delivers extra oxygen to the lungs through a plastic tube with two prongs that fit into the patient’s nostrils.

  • Medications can thin lung secretions to make coughing easier and relieve chest pain. However, corticosteroids (anti-inflammatory medications) and immunosuppressants are ineffective for treating asbestosis.

  • Pulmonary rehabilitation helps patients learn techniques and make lifestyle changes to better cope with chronic breathing difficulties. A team of therapists works together to provide for both physical and psychological needs.

  • Lung transplants are most often considered when asbestosis is accompanied by more severe lung diseases such as emphysema or lung cancer. It is a highly invasive, last-resort treatment, and in order to be put on a lung-transplant waiting list, a patient has to undergo extensive screening to determine the relative chances of success.

Some patients also find relief through complementary and alternative medical treatments such as acupuncture, massage therapy and homeopathic medicine. While none of these treatments offers a cure for asbestosis, many of them do offer relief from pain and improved pulmonary function.

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Karen Selby, RN and Patient Advocate at The Mesothelioma Center

Karen Selby joined Asbestos.com in 2009. She is a registered nurse with a background in oncology and thoracic surgery and was the director of a tissue bank before becoming a Patient Advocate at The Mesothelioma Center. Karen has assisted surgeons with thoracic surgeries such as lung resections, lung transplants, pneumonectomies, pleurectomies and wedge resections. She is also a member of the Academy of Oncology Nurse & Patient Navigators.

Sources
  1. American Heart Association. (2017, September 15). Pulmonary Hypertension - High Blood Pressure in the Heart-to-Lung System. Retrieved from http://www.heart.org/HEARTORG/Conditions/HighBloodPressure/GettheFactsAboutHighBloodPressure/Pulmonary-Hypertension---High-Blood-Pressure-in-the-Heart-to-Lung-System_UCM_301792_Article.jsp
  2. Mayo Clinic Staff. (2017, August 12). Asbestosis. Retrieved from https://www.mayoclinic.org/diseases-conditions/asbestosis/symptoms-causes/syc-20354637
  3. U.S. National Library of Medicine. (2017, May 21). Asbestosis. Retrieved from https://medlineplus.gov/ency/article/000118.htm
  4. National Institute for Occupational Safety and Health. (2017, May). Asbestosis: Number of deaths by sex, race, age group, and median age at death, U.S. residents age 15 and over, 2005–2014. Retrieved from https://wwwn.cdc.gov/eworld/Data/Asbestosis_Number_of_deaths_by_sex_race_age_group_and_median_age_at_death_US_residents_age_15_and_over_20052014/890
  5. Varkey, B. (2015, December 31). Asbestosis Treatment & Management. Retrieved from https://emedicine.medscape.com/article/295966-treatment
  6. Barnes, J. (2011). Dust-up: Asbestos Litigation and the Failure of Commonsense Policy Reform. Washington, DC: Georgetown University Press.
  7. Dodson, R., and Hammar, S. (2011). Asbestos: Risk Assessment, Epidemiology, and Health Effects. Boca Raton: Taylor & Francis.
  8. National Heart, Lung, and Blood Institute. (2010, August 1). What Is Pulmonary Rehabilitation? Retrieved from https://www.nhlbi.nih.gov/health/health-topics/topics/pulreh
  9. Becklake, M., Bagatin, E., and Neder, J. (2007, April 11). Asbestos-related diseases of the lungs and pleura: uses, trends and management over the last century. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/17394680
  10. Webster, P. (2006). White Dust Black Death: The Tragedy of Asbestos Mining at Baryulgil. Indiana: Trafford Publishing.
  11. Barbalace, R. (2004, October). A Brief History of Asbestos Use and Associated Health Risks. Retrieved from http://EnvironmentalChemistry.com/yogi/environmental/asbestoshistory2004.html
  12. American Thoracic Society. (2004). Diagnosis and Initial Management of Nonmalignant Diseases Related to Asbestos. American Journal of Respiratory and Critical Care Medicine, 170, 691-715. Retrieved from http://www.thoracic.org/statements/resources/eoh/asbestos.pdf
  13. Icon Health Publications. (2004). Asbestosis: A Medical Dictionary, Bibliography, and Annotated Research Guide To Internet References. San Diego: Icon Health Publications.
  14. Cooke, W. (1924, July 26). Fibrosis of the Lungs Due to Inhalation of Asbestos Dust. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2304688/
  15. American Lung Association. (n.d.). Asbestosis Symptoms, Causes, and Risk Factors. Retrieved from http://www.lung.org/lung-health-and-diseases/lung-disease-lookup/asbestosis/asbestosis-symptoms-causes.html
  16. World Health Organization International Programme on Chemical Safety. (n.d.). Asbestos. Retrieved from http://www.who.int/ipcs/assessment/public_health/asbestos/en/

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