Silicosis - Treatment
Alternative Names
Acute silicosis; Chronic silicosis; Accelerated silicosis; Progressive massive fibrosis; Conglomerate silicosis
Treatment:
There is no specific treatment for silicosis. Removing the source of silica exposure is important to prevent the disease from getting worse. Supportive treatment includes cough medicine, bronchodilators, and oxygen if needed. Antibiotics are prescribed for respiratory infections as needed.
Treatment also includes limiting exposure to irritants, quitting smoking, and having routine tuberculosis skin tests.
People with silicosis are at high risk for developing tuberculosis (TB). Silica is believed to interfere with the body's immune response to the bacteria that causes TB. People with silicosis should have skin tests to check for exposure to TB. Those with a positive skin test should be treated with anti-TB drugs. Any change in the appearance of the chest x-ray may be a sign of TB.
Support Groups:
Joining a support group where you can meet other people with silicosis or related diseases can help you understand your disease and adapt to its treatments.
Expectations (prognosis):
The outcome varies depending on the amount of damage to the lungs.
Complications:
- Increased risk for tuberculosis
- Progressive massive fibrosis
Calling your health care provider:
Call your health care provider if you are exposed to silica at work and you have symptoms of the disease.
- Reviewed last on: 8/10/2007
- Allen J. Blaivas, DO, Pulmonary, Critical Care, and Sleep Medicine, Department of Veteran Affairs, VA System, East Orange, NJ. Review provided by VeriMed Healthcare Network.
References
American Thoracic Society. Adverse effects of crystalline silica exposure. Am J Respir Crit Care Med. 1997;155:761-765.
Murray J, Nadel J. Textbook of Respiratory Medicine. 3rd ed. Philadelphia, Pa: WB Saunders; 2000.
Pipavath S. Imaging of Interstitial Lung Disease. Radiol Clin North Am. 2005 May; 43(3); 589-599.
Noble J. Textbook of Primary Care Medicine. 3rd ed. St. Louis, Mo: Mosby; 2001:694-696