How is pneumoconiosis caused?

Written by Li Ying
Pulmonology
Updated on September 14, 2024
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Pneumoconiosis is a systemic disease characterized by diffuse fibrotic scarring of lung tissue. It is caused by the long-term inhalation of industrial dust and dust during occupational activities, which accumulates in the lungs. Once pneumoconiosis occurs, it is irreversible and incurable for life, with a high mortality rate of up to 22%. So, who is more likely to develop pneumoconiosis? The main occupations include: First, mining activities, including coal mining, metal mining, and non-metal mining. These activities produce a large amount of dust that, when inhaled into the lungs, can cause pneumoconiosis. Second, mechanical manufacturing, specifically during the manufacturing process of metal castings. Activities such as sand mixing for casting and sand molding can lead to pneumoconiosis, particularly among welders who dominate this industry. Third, metal smelting, involving ore loading and unloading, steel casting, and alumina sintering. The primary occupations exposed include sintered pellet raw material workers, sintering workers, and blast furnace operators, all of whom come into contact with large amounts of dust. Fourth, the construction industry, for example, with materials resistant to fire such as quartz sand, glass, stone, and cement production, as well as asbestos mining. Workers in these industries are exposed to large amounts of dust. In China, the top three types of pneumoconiosis are silicosis, coal worker's pneumoconiosis, and graphite pneumoconiosis, along with those working in jade processing and welder's pneumoconiosis, which are relatively common.

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Written by Wang Chun Mei
Pulmonology
1min 7sec home-news-image

Will pneumoconiosis tuberculosis be contagious?

Pneumoconiosis is a very common type of occupational disease clinically, often caused by long-term inhalation of large amounts of dust in the environment, leading to a chronic lung disease. When pneumoconiosis progresses to a certain extent, it inevitably leads to fibrotic changes in the lungs. At this stage, the disease can potentially cause pulmonary tuberculosis. Therefore, in clinical practice, the diagnosis of tuberculosis is often made by finding Mycobacterium tuberculosis in the sputum, as well as through chest CT or X-ray examinations for a clear diagnosis. Generally, pneumoconiosis tuberculosis is contagious if Mycobacterium tuberculosis can be found in the sputum. If the bacterium is not found in the sputum of pneumoconiosis tuberculosis patients, it is not contagious. Therefore, whether pneumoconiosis tuberculosis is contagious or not can only be determined based on some of the patient's test results.

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Written by Wang Chun Mei
Pulmonology
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Are pneumoconiosis nodules benign?

Pneumoconiosis is a very common occupational lung disease in clinical settings, often caused by exposure to diffuse dust in the air over a prolonged period. Typically, pneumoconiosis nodules are considered benign lesions. Patients often may not exhibit obvious clinical symptoms in the early stages, but as time progresses, they may gradually develop clinical symptoms such as difficulty breathing, coughing, expectoration, and dyspnea. Overall, once pneumoconiosis occurs clinically, it is difficult to control with medication. Although pneumoconiosis patients cannot be cured and the nodules formed are not lung cancer, it is important to recognize that pneumoconiosis nodules are generally benign.

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Written by Liu Jing Jing
Pulmonology
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Do people with pneumoconiosis cough at night?

Pneumoconiosis can potentially lead to coughing at night. It is caused by the inhalation of dust, resulting in changes to the lungs. Patients often exhibit symptoms such as coughing, expectoration, chest tightness, and shortness of breath, and these symptoms progressively worsen. In severe cases, complications may include pulmonary heart disease or pulmonary cerebral disease. However, coughing at night is not necessarily indicative of pneumoconiosis. Other conditions, such as chronic obstructive pulmonary disease, bronchiectasis, pulmonary tuberculosis, and lung tumors, may also result in nighttime coughing. Thus, it is important to visit a hospital for comprehensive diagnostics including chest CT, complete blood count, and sputum tests for tuberculosis to establish a clear diagnosis. Pneumoconiosis is an occupational disease, and visiting a local institute for occupational diseases can aid in diagnosis.

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Written by Wang Chun Mei
Pulmonology
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How to treat Stage II pneumoconiosis?

Pneumoconiosis in clinical settings is primarily caused by long-term inhalation of mineral dust, leading to a category of diffuse pulmonary diseases. This type of disease is also considered one of the occupational diseases, with patients experiencing varying degrees of cough, expectoration, and shortness of breath, as well as different levels of breathing difficulty due to prolonged inhalation of high concentrations of dust in severe cases. Therefore, clinically, if pneumoconiosis reaches a moderate level, the first step in treatment involves removing the patient from the dusty environment. Subsequently, symptomatic treatment with appropriate medications is administered to the patient. Treatment usually depends on the symptoms presented by the patient. In cases of evident infection, timely anti-infective treatment should be given, along with medications to suppress cough, facilitate expectoration, and relieve asthma, in order to alleviate discomfort. Moreover, if complications are present, timely treatment of these complications should be administered, along with appropriate anti-fibrotic drugs to manage the clinical symptoms caused by pneumoconiosis.

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Written by Yuan Qing
Pulmonology
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How to check for pneumoconiosis

Pneumoconiosis is primarily caused by inhaling a large amount of gases containing dust particles in our production or work environment. These gases deposit in our alveoli over a long period, leading to the retention of dust in the lungs. Subsequently, this dust irritates the alveoli and pulmonary interstitium, leading to pulmonary interstitial fibrosis. Patients may experience symptoms such as coughing, wheezing, and difficulty breathing. The examination of pneumoconiosis mainly relies on imaging of the chest, such as chest radiographs, combined with pulmonary function tests, which can essentially determine the diagnosis of pneumoconiosis and also assess the severity of the disease.