Abstract
During a 10-year period (1970-79) all patients in Uppsala County found to have pleural changes related to asbestos exposure were followed. The lesions could be divided into four types: parietal pleural plaques, exudative pleurisy, thickening of the visceral pleura, and progressive pleural fibrosis. There were 891 cases. The most common type was parietal plaques, which was seen in 827 patients, some of whom later developed other changes. In 22 types exudation was proven radiologically, and in 84 more cases obliteration of the costo-phrenic angle was seen. The exudations almost all had a benign course, despite sometimes fairly large and bloody effusions. They were practically all symptom-free, being a surprise finding on chest radiography. Thickening of the visceral pleura can only be seen radiologically in the fissures and occurred in a few cases in addition to other changes. In a small group of more heavily exposed individuals, a progressive pleural fibrosis developed, sometimes after an initial effusion.
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- Baris Y. I., Sahin A. A., Ozesmi M., Kerse I., Ozen E., Kolacan B., Altinörs M., Göktepeli A. An outbreak of pleural mesothelioma and chronic fibrosing pleurisy in the village of Karain/Urgüp in Anatolia. Thorax. 1978 Apr;33(2):181–192. doi: 10.1136/thx.33.2.181. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Becklake M. R. Asbestos-related diseases of the lung and other organs: their epidemiology and implications for clinical practice. Am Rev Respir Dis. 1976 Jul;114(1):187–227. doi: 10.1164/arrd.1976.114.1.187. [DOI] [PubMed] [Google Scholar]
- Blesovsky A. The folded lung. Br J Dis Chest. 1966 Jan;60(1):19–22. doi: 10.1016/s0007-0971(66)80017-7. [DOI] [PubMed] [Google Scholar]
- Boutin C., Viallat J., Farisse P., Choux R. Pleurésies asbestosiques bénignes (à propos de trois observations) Poumon Coeur. 1975;31(3):111–118. [PubMed] [Google Scholar]
- Choffel C., Verdoux P., Milleron B. Les atélectasies rondes pseudo-tumorales sans antécédents pleuraux avérés (à propos de deux cas). Poumon Coeur. 1977;33(5):295–302. [PubMed] [Google Scholar]
- EISENSTADT H. B. ASBESTOS PLEURISY. Dis Chest. 1964 Jul;46:78–81. doi: 10.1378/chest.46.1.78. [DOI] [PubMed] [Google Scholar]
- GERNEZ-RIEUX C., MEREAU J. [Arciform deformities of the segmental bronchi, an unrecognized sequel of former pleurisy]. Ann Radiol (Paris) 1960;3:561–570. [PubMed] [Google Scholar]
- Gaensler E. A., Kaplan A. I. Asbestos pleural effusion. Ann Intern Med. 1971 Feb;74(2):178–191. doi: 10.7326/0003-4819-74-2-178. [DOI] [PubMed] [Google Scholar]
- Hanke R. Rundatelektasen (Kugel- und Walzenatelektasen). Ein Beitrag zur Differentialdiagnose intrapulmonaler Rundherde. Fortschr Geb Rontgenstr Nuklearmed. 1971 Feb;114(2):164–183. [PubMed] [Google Scholar]
- Harries P. G. Experience with asbestos disease and its control in Great Britain's naval dockyards. Environ Res. 1976 Apr;11(2):261–267. doi: 10.1016/0013-9351(76)90084-0. [DOI] [PubMed] [Google Scholar]
- Hillerdal G., Hillerdal O., Nöu E. Radiologically visible pleural plaques in a one-year material from a health survey in 1976 a cross-sectional study. Eur J Respir Dis Suppl. 1980;107:89–98. [PubMed] [Google Scholar]
- Hillerdal G., Lindgren A. Pleural plaques: correlation of autopsy findings to radiographic findings and occupational history. Eur J Respir Dis. 1980 Dec;61(6):315–319. [PubMed] [Google Scholar]
- Hillerdal G. Pleural plaques in a health survey material. Frequency, development and exposure to asbestos. Scand J Respir Dis. 1978 Oct;59(5):257–263. [PubMed] [Google Scholar]
- JACOB G., BOHLIG H. [Behavior of the bronchial tree in pulmonary fibrosis due to asbestosis]. Arch Gewerbepathol Gewerbehyg. 1960;18:247–257. [PubMed] [Google Scholar]
- Mackenzie F. A., Harries P. G. Changing attitudes to the diagnosis of asbestos disease. J R Nav Med Serv. 1970 Spring;56(1):116–123. [PubMed] [Google Scholar]
- Mattson S. B. Monosymptomatic exudative pleurisy in persons exposed to asbestos dust. Scand J Respir Dis. 1975;56(5):263–272. [PubMed] [Google Scholar]
- Navrátil M., Dobiás J. Development of pleural hyalinosis in long term studies of persons exposed to asbestos dust. Environ Res. 1973 Dec;6(4):455–472. doi: 10.1016/0013-9351(73)90059-5. [DOI] [PubMed] [Google Scholar]
- Nyiredy G. Benigne Asbestpleuritis. Prax Pneumol. 1975 Mar;29(3):166–169. [PubMed] [Google Scholar]
- Sluis-Cremer G. K., Webster I. Acute pleurisy in asbestos exposed persons. Environ Res. 1972 Dec;5(4):380–392. doi: 10.1016/0013-9351(72)90040-0. [DOI] [PubMed] [Google Scholar]
- Smyth N. P., Goodman N. G., Basu A. P., Keshishian J. M. Pulmonary asbestosis. Chest. 1971 Sep;60(3):270–273. doi: 10.1378/chest.60.3.270. [DOI] [PubMed] [Google Scholar]
- Solomon A., Irwig L. M., Sluis-Cremer G. K., Thomas R. G., Du Toit R. S. Thickening of pulmonary interlobar fissures: exposure-response relationship in crocidolite and amosite miners. Br J Ind Med. 1979 Aug;36(3):195–198. doi: 10.1136/oem.36.3.195. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Solomon A., Sluis-Cremer G. K., Goldstein B. Visceral pleural plaque formation in asbestosis. Environ Res. 1979 Aug;19(2):258–264. doi: 10.1016/0013-9351(79)90053-7. [DOI] [PubMed] [Google Scholar]
- Solomon A., Webster I. The visceral pleura in asbestosis. Environ Res. 1976 Feb;11(1):128–134. doi: 10.1016/0013-9351(76)90116-x. [DOI] [PubMed] [Google Scholar]
- Wright P. H., Hanson A., Kreel L., Capel L. H. Respiratory function changes after asbestos pleurisy. Thorax. 1980 Jan;35(1):31–36. doi: 10.1136/thx.35.1.31. [DOI] [PMC free article] [PubMed] [Google Scholar]