Role of the occupational disease consultant in the multidisciplinary discussion of interstitial lung diseases

Carlier, Ségolene; Nasser, Mouhamad; Fort, Emmanuel; Lamouroux, Céline; Chalabreysse, Lara; Maury, Jean‐Michel; Diesler, Rémi; Cottin, Vincent; Charbotel, Barbara

doi:10.1186/s12931-022-02257-6

Cited by 12 publications

(2 citation statements)

References 36 publications

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“…In addition to HP, CBD cases may benefit from immunosuppressive treatment. Currently, however, occupational respiratory specialists are not part of the multidisciplinary discussion teams that try to establish the diagnosis and best treatment options for ILD patients [ 51 ].…”

Section: Occupational Interstitial Lung Diseasesmentioning

confidence: 99%

Occupational lung disease: when should I think of it and why is it important?

Feary

Lindström

Huntley

et al. 2023

Breathe

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Exposure to toxic inhalants in the workplace has the potential to cause (in susceptible individuals) almost any major type of lung disease, such as asthma, COPD and interstitial lung diseases. Patients with occupational lung disease will often present to or will be managed by respiratory specialists without training in occupational respiratory medicine, and patients (or their clinicians) may not identify a link between their disease and their current or a past job. Without an awareness of the range of different occupational lung diseases that exist, their similarity to their non-occupational counterparts, and without directed questioning, these conditions may go unidentified. Patients with occupational lung diseases are often in lower paid work and are disproportionally affected by health inequality. Both clinical and socioeconomic outcomes generally improve if cases are identified early. This allows appropriate advice to be given about the risks of ongoing exposure, clinical management, occupational mobility and, in some cases, eligibility for legal compensation. As respiratory professionals, it is important that these cases are not missed, and if needed, are discussed with a physician with specialised expertise. Here we describe some of the most common occupational lung diseases and outline the diagnostic and treatment approach.

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Section: Occupational Interstitial Lung Diseasesmentioning

confidence: 99%

Occupational lung disease: when should I think of it and why is it important?

Feary

Lindström

Huntley

et al. 2023

Breathe

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“…Carlier et al. have recently reported that the integration of a specialized occupational consultation in the multidisciplinary evaluation of patients with ILD resulted in a change in diagnosis in 12.8% (18/141) of cases, with 15.6% of patients (22/1141) being eligible to claim compensation for an occupational disease [71]. A diagnosis of occupational ILD carries legal consequences; indeed, once the occupational origin of the disease has been confirmed, patients can claim compensation.…”

Section: Diagnostic Approach To Patients With Suspected Occupational Ildmentioning

confidence: 99%

Occupational interstitial lung diseases

et al. 2023

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Millions of workers are exposed to substances known to cause occupational interstitial lung diseases (ILDs), particularly in developing countries. However, the burden of the disease is likely to be underestimated due to under‐recognition, under‐reporting, or both.The diagnosis of occupational ILD requires a high level of suspicion and a thorough occupational history, as occupational and non‐occupational ILDs may be clinically, functionally and radiologically indistinguishable, leading to delayed diagnosis and inappropriate management. A potential occupational etiology should always be considered in the differential diagnosis of ILD, as removal from the workplace exposure, with or without treatment, is a key therapeutic intervention and may lead to significant improvement.In this article, we provide an overview of the “traditional” inorganic dust‐related ILDs, but also address idiopathic pulmonary fibrosis and the immunologically mediated chronic beryllium disease, sarcoidosis and hypersensitivity pneumonitis, with emphasis on the importance of surveillance and prevention for reducing the burden of these conditions. To this end, health care professionals should be specifically trained about the importance of occupational exposures as a potential cause of ILD.This article is protected by copyright. All rights reserved

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The role of pathologists in the diagnosis of occupational lung diseases: an expert opinion of the European Society of Pathology Pulmonary Pathology Working Group

Calabrese,

Montero-Fernandez,

Kern

et al. 2024

Virchows Arch

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Occupational lung/thoracic diseases are a major global public health issue. They comprise a diverse spectrum of health conditions with complex pathology, most of which arise following chronic heavy workplace exposures to various mineral dusts, metal fumes, or following inhaled organic particulate reactions. Many occupational lung diseases could become irreversible; thus accurate diagnosis is mandatory to minimize dust exposure and consequently reduce damage to the respiratory system. Lung biopsy is usually required when exposure history is inconsistent with imaging, in case of unusual or new exposures, in case of unexpected malignancy, and in cases in which there are claims for personal injury and legal compensation. In this paper, we provide an overview of the most frequent occupational lung diseases with a focus on pathological diagnosis. This is a paper that summarizes the expert opinion from a group of European pathologists, together with contributions from other specialists who are crucial for the diagnosis and management of these diseases. Indeed, tight collaboration of all specialists involved in the workup is mandatory as many occupational lung diseases are misdiagnosed or go unrecognized. This document provides a guide for pathologists in practice to facilitate the accurate diagnosis of occupational lung disease. The review article reports relevant topics discussed during an educational course held by expert pathologists, active members of the Pulmonary Pathology Working Group of the European Society of Pathology. The course was endorsed by the University of Padova as a “winter school” (selected project in the call for “Shaping a World-class University” 2022).

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Role of the occupational disease consultant in the multidisciplinary discussion of interstitial lung diseases

Cited by 12 publications

References 36 publications

Occupational lung disease: when should I think of it and why is it important?

Occupational lung disease: when should I think of it and why is it important?

Occupational interstitial lung diseases

The role of pathologists in the diagnosis of occupational lung diseases: an expert opinion of the European Society of Pathology Pulmonary Pathology Working Group

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