Acute Silicosis
Condition
Definition
Silicosis is a lung disease. It is caused by breathing dust that has crystalline silica in it. In acute silicosis, the disease happens after weeks or months of being around high levels of silica.
Causes
Silica dust can come from cutting, drilling, breaking, or grinding soil, sand, granite, or other items. The silica dust gets trapped in the lungs when it gets in the air that people breathe.
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Risk Factors
The risk is higher in people who spend time around air that has silica dust in it. Jobs that involve these tasks also raise the risk:
- Sandblasting or rock crushing (for road base)
- Construction or masonry
- Wrecking and demolition
- Abrasive blasting
- Concrete or drywall finishing
- Mining or rock drilling
- Stone milling or cutting
- Sand and gravel screening
- Agriculture
- Ceramics, clay, pottery, glassmaking
- Vitreous enameling of china plumbing fixtures
- Making soaps and detergents
Symptoms
Symptoms may appear within a few weeks to five years after exposure.
A person may have:
- Trouble breathing
- Coughing
- Weakness
- Fever
- Weight loss
Diagnosis
The doctor will ask about symptoms and health history. The doctor may also ask about work history. A physical exam will be done.
Pictures may be taken to look for signs of damage. This can be done with a chest x-ray.
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Treatment
There is no cure. The goal of treatment is to avoid silica dust so the lungs do not get damaged more. To help with breathing the doctor may advise:
- Avoiding smoking
- Medicines to help air flow, ease cough, or treat infection
- Oxygen therapy to support breathing
- Lung rehabilitation
- A lung transplant
Prevention
The risk of this problem may be lowered by:
- Avoiding air that has silica dust in it
- Wearing a mask or respirator on the job to avoid breathing in air that has silica dust in it
- Working in well-ventilated places
Centers for Disease Control and Prevention
Occupational Safety and Health Administration—US Department of Labor
CANADIAN RESOURCES:
Canadian Centre for Occupational Health and Safety
Canadian Lung Association
Centers for Disease Control and Prevention
Occupational Safety and Health Administration—US Department of Labor
CANADIAN RESOURCES:
Canadian Centre for Occupational Health and Safety
Canadian Lung Association
References
- Silicosis. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/silicosis.
- Silicosis: learn the facts! National Institute for Occupational Safety and Health website. Available at: http://www.cdc.gov/niosh/docs/2004-108.
- Silicosis. Merck Manual Professional Version website. Available at: http://www.merckmanuals.com/professional/pulmonary-disorders/environmental-pulmonary-diseases/silicosis.
Contributors
- James P. Cornell, MD
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