Lenshin2, Victor Kolosov1, Andrey Il'in2 and Juliy Perelman2 1Labratory of Prophylaxis of Nonspecific
Lung Diseases, Far Eastern Scientific Center of Physiology and
Pathology of Respiration, Blagoveshchensk,
of Functional Research of Respiratory System, Far Eastern Scientific
Center of Physiology and Pathology of Respiration, Blagoveshchensk, Russian
Unindustrial asbestosis occurs very rarely. A distinctive feature of
clinical-X-ray observations of 6 members of one family is that no one
of them have ever worked at the factory excavating and processing
asbest, but all of them for some time (from 6 till 12 years) lived in
the place near the factory. The age of patients was from 29 till 57
The observation was carried out during 7 years (from 2009 till 2015).
To assess the dynamics of the disease and to exclude mesothelioma of
pleura, multislice computed tomography (MSCT) was performed once a year.
All the patients had poor clinical manifestations and in the
roentgenograms taken at the preliminary stages of in-patient
observation revealed changes were identified as pulmonary fibrosis. For
the first time the asbestosis with massive pleural calcinosis was
diagnosed in the members of this family by the data from MSCT. The use
of special software gave an opportunity to identify coarse and
extensive damages of pleura in the form of fibrosis and lamellate
calcinosis, to assess the quantity of pathological changes of pleura
and register topometrically the damage of front, back, lateral and
diaphragm parts of it. There were no changes found in
bronchial-parenchymal pulmonary structures under MSCT study. The
picture stays stable at annual clinical-X-ray observations.
The typical feature of the present observation is that this type of
asbestosis can be considered to be unindustrial (community-acquired)
pneumonoconiosis. People living in the area near the factory have to be
timely informed about the harm this mineral does to a person even
outside the factory.