Silicosis medical therapy: Difference between revisions
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Silicosis is an irreversible condition with currently no cure. Treatment options currently focus on alleviating the symptoms and preventing complications. | Silicosis is an irreversible condition with currently no cure. Treatment options currently focus on alleviating the symptoms and preventing complications. | ||
==Medical Therapy== | ==Medical Therapy== | ||
* | * There is no evidence-based medical therapy for the treatment of silicosis. | ||
*Generally, management of silicosis aims to manage other respiratory comorbidities (e.g. COPD or tuberculosis) and to treat silicosis-associated complications. | |||
* Management goals include avoidance of exposure to silica, optimization of respiratory function, and preventive care. | |||
===Management of Acute Silicosis=== | |||
*Whole-lung lavage is recommended in acute silicosis to improve gas exchange and eliminate residual alveolar debris. | |||
*A modest short-term randomized clinical trial demonstrated that systemic steroids may be effective in the management of steroids, but the benefit has not been well-established. | |||
===Management of Chronic Silicosis=== | |||
*Systemic steroid therapy are not recommended for the indication of chronic silicosis alone. | |||
*However, systemic steroids may be administered to patients who are diagnosed with silicosis and have other indications for the use of steroids. | |||
===Supportive therapy=== | ===Supportive therapy=== | ||
*[[Smoking cessation]] | *[[Smoking cessation]] | ||
*[[ | *[[oxygen|Supplemental oxygen]] is administered to prevent complications of chronic [[hypoxemia]] | ||
* | *[[Bronchodilator]]s may facilitate breathing if airflow limitation is present on [[spirometry]]. | ||
==References== | ==References== | ||
Revision as of 14:10, 19 June 2015
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Risk calculators and risk factors for Silicosis medical therapy |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Silicosis is an irreversible condition with currently no cure. Treatment options currently focus on alleviating the symptoms and preventing complications.
Medical Therapy
- There is no evidence-based medical therapy for the treatment of silicosis.
- Generally, management of silicosis aims to manage other respiratory comorbidities (e.g. COPD or tuberculosis) and to treat silicosis-associated complications.
- Management goals include avoidance of exposure to silica, optimization of respiratory function, and preventive care.
Management of Acute Silicosis
- Whole-lung lavage is recommended in acute silicosis to improve gas exchange and eliminate residual alveolar debris.
- A modest short-term randomized clinical trial demonstrated that systemic steroids may be effective in the management of steroids, but the benefit has not been well-established.
Management of Chronic Silicosis
- Systemic steroid therapy are not recommended for the indication of chronic silicosis alone.
- However, systemic steroids may be administered to patients who are diagnosed with silicosis and have other indications for the use of steroids.
Supportive therapy
- Smoking cessation
- Supplemental oxygen is administered to prevent complications of chronic hypoxemia
- Bronchodilators may facilitate breathing if airflow limitation is present on spirometry.