Asbestosis (as-bes-TOE-sis) is a chronic lung disease caused by inhaling asbestos fibers. Prolonged exposure to these fibers can cause lung tissue scarring and shortness of breath. Asbestosis symptoms can range from mild to severe, and usually don't appear until many years after continued exposure.
Asbestos is a natural mineral product that's resistant to heat and corrosion. It was used extensively in the past in products such as insulation, cement and some floor tiles.
Most people with asbestosis acquired it on the job before the federal government began regulating the use of asbestos and asbestos products in the 1970s. Today, its handling is strictly regulated. Acquiring asbestosis is extremely unlikely if you follow your employer's safety procedures. Treatment focuses on relieving your symptoms.
The effects of long-term exposure to asbestos typically don't show up for 10 to 40 years after initial exposure. Asbestosis signs and symptoms can include:
Shortness of breath
A persistent, dry cough
Loss of appetite with weight loss
Fingertips and toes that appear wider and rounder than normal (clubbing)
Chest tightness or pain
When to see a doctor
If you have a history of exposure to asbestos and you're experiencing increasing shortness of breath, talk to your doctor about the possibility of asbestosis.
If you are exposed to high levels of asbestos dust over a long period of time, some of the airborne fibers can become lodged within your alveoli — the tiny sacs inside your lungs where oxygen is exchanged for carbon dioxide in your blood. The asbestos fibers irritate and scar lung tissue, causing the lungs to become stiff. This makes it difficult to breathe.
As asbestosis progresses, more and more lung tissue becomes scarred. Eventually, your lung tissue becomes so stiff that it can't contract and expand normally.
Smoking cigarettes appears to increase the retention of asbestos fibers in the lungs, and often results in a faster progression of the disease.
People who worked in mining, milling, manufacturing, installation or removal of asbestos products before the late 1970s are at risk of asbestosis. Examples include:
Aircraft and auto mechanics
Building construction workers
Workers removing asbestos insulation around steam pipes in older buildings
In general, it's safe to be around materials that are made with asbestos as long as the asbestos fibers are contained. This prevents them from getting into the air
If you have asbestosis, you're at increased risk of developing lung cancer — especially if you smoke or have a history of smoking.
Reducing exposure to asbestos is the best prevention against asbestosis. In the United States, federal law requires employers in industries that work with asbestos products — such as construction — to take special safety measures.
Many homes built before the 1970s have materials such as pipes and floor tiles that contain asbestos. Generally, there's no cause for concern as long as the asbestos is enclosed and undisturbed. It's when materials containing asbestos are damaged that there's a danger of asbestos fibers being released into the air. However, asbestosis typically occurs only after prolonged exposure to asbestos fiber.
Asbestosis can be difficult to diagnose because its signs and symptoms are similar to those of many other types of respiratory diseases A variety of diagnostic tests might be needed to help pinpoint the diagnosis.
Chest X-ray. Advanced asbestosis appears as excessive whiteness in your lung tissue. If the asbestosis is severe, your entire lungs might be affected, giving them a honeycomb appearance.
Computerized tomography (CT). CT scans combine a series of X-ray views taken from many different angles to produce cross-sectional images of the bones and soft tissues inside your body. These scans generally provide greater detail and might help detect asbestosis in its early stages, even before it shows up on a chest X-ray.
Pulmonary function tests
These tests determine how well your lungs are functioning. Pulmonary function tests measure how much air your lungs can hold and the airflow in and out of your lungs. For example, you might be asked to blow as hard as you can into an air-measurement device called a spirometer. More complete pulmonary function tests can measure the amount of oxygen being transferred to your bloodstream.
There's no treatment to reverse the effects of asbestos on the alveoli. Treatment focuses on slowing the progression of the disease and relieving symptoms. You'll need routine follow-up care, such as chest X-rays and lung function tests, at regular intervals depending on the severity of your condition.
To ease breathing difficulty caused by advanced asbestosis, your doctor might prescribe supplemental oxygen. This is delivered by thin plastic tubing with prongs that fit into your nostrils or a mask.
If your symptoms are severe, you might be a candidate for a lung transplant.
Stop smoking. Asbestosis increases the risk of lung cancer. Quitting smoking can reduce this risk. Try to avoid secondhand smoke. Smoking might also cause emphysema, which further reduces your lung reserves.
Get vaccinated. Talk to your doctor about flu and pneumonia vaccines, which can help lower your risk of lung infections. Promptly treat respiratory infections.