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Home > West Medicine > Internal Medicine > Respiratory Medicine
J62.803

Silicosis

呼吸内科

Common symptoms

胸痛、桶状胸、呼吸困难、食欲减退、肺纤维化、呼气音延长、气短、呼吸音减弱、气急、啰音

The pathology of disease

Silicosis is interstitial pulmonary fibrosis from inhalation of crystalline silica dust (mining/sandblasting/stone cutting), presenting with progressive dyspnea, cough, upper-lobe nodular opacities, eggshell calcification of hilar nodes, and risk of TB/lung cancer. Types: acute, accelerated, chronic. Treatment: avoid further exposure; supportive care; oxygen for hypoxemia; pulmonary rehab; treat TB (high risk); treat infection/complications; surveillance for lung cancer; no proven antifibrotic; smoking cessation.

Common Symptoms

Progressive dyspnea/cough; upper-lobe nodules; eggshell hilar calcification; silica exposure; risk of TB/cancer

Causes and Pathogenesis

Silica particles cause alveolar macrophage inflammation and fibrotic nodule formation.

Treatment

Avoid exposure; supportive; oxygen/rehab; treat TB; cancer surveillance

Preventive Measures

Occupational dust control; TB screening; smoking cessation.

Department to Visit

It is recommended to visit the Pulmonology/Occupational-medicine department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.