Fibre distribution in the lungs and pleura of subjects with asbestos related diffuse pleural fibrosis
The lungs from 13 cases of diffuse pleural fibrosis associated with a history of exposure to asbestos were examined. Samples were taken from the visceral pleura and central and subpleural zones of the lungs for histopathological and mineralogical studies. The fibre type, size, and number were estima...
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Published in | British Journal of Industrial Medicine Vol. 48; no. 11; pp. 762 - 770 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
England
BMJ Publishing Group Ltd
01.11.1991
British Medical Association BMJ Publishing Group LTD |
Subjects | |
Online Access | Get full text |
ISSN | 0007-1072 1351-0711 1470-7926 |
DOI | 10.1136/oem.48.11.762 |
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Abstract | The lungs from 13 cases of diffuse pleural fibrosis associated with a history of exposure to asbestos were examined. Samples were taken from the visceral pleura and central and subpleural zones of the lungs for histopathological and mineralogical studies. The fibre type, size, and number were estimated for each of these regions by transmission electron microscopy and energy dispersive x ray analysis. Amphibole fibre counts were raised when compared with a non-occupationally exposed group and matched those seen in cases of pleural plaques, mild asbestosis, and mesothelioma. A wide case to case variation of distribution was seen. No significant difference was apparent between central and subpleural zones, whereas low asbestos counts were found in the pleura; these were mainly short chrysotile fibres. Within the lungs more (45%) of the longer (greater than 4 microns) and thinner (less than 0.25 micron) amphibole fibres were retained in keeping with other studies implicating such fibre profiles in the pathogenesis of asbestos related disease. |
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AbstractList | The lungs from 13 cases of diffuse pleural fibrosis associated with a history of exposure to asbestos were examined. Samples were taken from the visceral pleura and central and subpleural zones of the lungs for histopathological and mineralogical studies. The fibre type, size, and number were estimated for each of these regions by transmission electron microscopy and energy dispersive x ray analysis. Amphibole fibre counts were raised when compared with a non-occupationally exposed group and matched those seen in cases of pleural plaques, mild asbestosis, and mesothelioma. A wide case to case variation of distribution was seen. No significant difference was apparent between central and subpleural zones, whereas low asbestos counts were found in the pleura; these were mainly short chrysotile fibres. Within the lungs more (45%) of the longer (greater than 4 microns) and thinner (less than 0.25 micron) amphibole fibres were retained in keeping with other studies implicating such fibre profiles in the pathogenesis of asbestos related disease. The lungs from 13 cases of diffuse pleural fibrosis associated with a history of exposure to asbestos were examined. Samples were taken from the visceral pleura and central and subpleural zones of the lungs for histopathological and mineralogical studies. The fibre type, size, and number were estimated for each of these regions by transmission electron microscopy and energy dispersive x ray analysis. Amphibole fibre counts were raised when compared with a non-occupationally exposed group and matched those seen in cases of pleural plaques, mild asbestosis, and mesothelioma. A wide case to case variation of distribution was seen. No significant difference was apparent between central and subpleural zones, whereas low asbestos counts were found in the pleura; these were mainly short chrysotile fibres. Within the lungs more (45%) of the longer ( > 4 mu m) and thinner ( < 0.25 mu m) amphibole fibres were retained in keeping with other studies implicating such fibre profiles in the pathogenesis of asbestos related disease. The lungs from 13 cases of diffuse pleural fibrosis associated with a history of exposure to asbestos were examined. Samples were taken from the visceral pleura and central and subpleural zones of the lungs for histopathological and mineralogical studies. The fibre type, size, and number were estimated for each of these regions by transmission electron microscopy and energy dispersive x ray analysis. Amphibole fibre counts were raised when compared with a non-occupationally exposed group and matched those seen in cases of pleural plaques, mild asbestosis, and mesothelioma. A wide case to case variation of distribution was seen. No significant difference was apparent between central and subpleural zones, whereas low asbestos counts were found in the pleura; these were mainly short chrysotile fibres. Within the lungs more (45%) of the longer (> 4 μm) and thinner (<0·25 μm) amphibole fibres were retained in keeping with other studies implicating such fibre profiles in the pathogenesis of asbestos related disease. The lungs from 13 cases of diffuse pleural fibrosis associated with a history of exposure to asbestos were examined. Samples were taken from the visceral pleura and central and subpleural zones of the lungs for histopathological and mineralogical studies. The fibre type, size, and number were estimated for each of these regions by transmission electron microscopy and energy dispersive x ray analysis. Amphibole fibre counts were raised when compared with a non-occupationally exposed group and matched those seen in cases of pleural plaques, mild asbestosis, and mesothelioma. A wide case to case variation of distribution was seen. No significant difference was apparent between central and subpleural zones, whereas low asbestos counts were found in the pleura; these were mainly short chrysotile fibres. Within the lungs more (45%) of the longer (greater than 4 microns) and thinner (less than 0.25 micron) amphibole fibres were retained in keeping with other studies implicating such fibre profiles in the pathogenesis of asbestos related disease.The lungs from 13 cases of diffuse pleural fibrosis associated with a history of exposure to asbestos were examined. Samples were taken from the visceral pleura and central and subpleural zones of the lungs for histopathological and mineralogical studies. The fibre type, size, and number were estimated for each of these regions by transmission electron microscopy and energy dispersive x ray analysis. Amphibole fibre counts were raised when compared with a non-occupationally exposed group and matched those seen in cases of pleural plaques, mild asbestosis, and mesothelioma. A wide case to case variation of distribution was seen. No significant difference was apparent between central and subpleural zones, whereas low asbestos counts were found in the pleura; these were mainly short chrysotile fibres. Within the lungs more (45%) of the longer (greater than 4 microns) and thinner (less than 0.25 micron) amphibole fibres were retained in keeping with other studies implicating such fibre profiles in the pathogenesis of asbestos related disease. |
Author | Gibbs, A R Pooley, F D Griffiths, D M Blight, B J Stephens, M |
AuthorAffiliation | Department of Pathology, Llandough Hospital, Penarth |
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BackLink | https://www.ncbi.nlm.nih.gov/pubmed/1659443$$D View this record in MEDLINE/PubMed |
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Cites_doi | 10.1164/arrd.1980.122.5.669 10.1016/0013-9351(83)90015-4 10.1136/thx.39.11.801 10.3109/10408448509023764 10.1016/0013-9351(80)90128-0 10.5271/sjweh.2320 10.1136/bmj.287.6386.164 10.1136/thx.42.8.583 10.1136/thx.41.3.176 10.1136/thx.45.9.649 10.1016/0013-9351(80)90129-2 10.1016/0041-008X(83)90341-1 |
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References | Herbert, A. (ref_7) 1986; 41 Churg, A.; Wood, P. (ref_18) 1983; 31 Wagner, J.C.; MoncrieffCB, Coles; R, Griffiths; DM, Munday; D.E. (ref_13) 1986; 43 Timbrell, V. (ref_25) 1982; 26 Stanton, M.F.; Layard, M.; Tegeris, A. (ref_21) 1981; 67 Morgan, A.; Holmes, A. (ref_19) 1984; 33 Gibbs, A.R. (ref_30) 1990; 45 Gibbs, A.R.; Griffiths, D.M.; Stephens, M.; Pooley, F.D. (ref_4) 1988 Jones, J.S.P.; Pooley, F.D.; Clark, N.J. (ref_11) 1980; 13 Large, A. (ref_9) 1980; 22 Hinson, K.F.W.; Otto, H.; Webster, I.; Rossiter, C.E. (ref_5) 1973; 106 McDonald, J.C.; McDonald, A.D. (ref_28) 1987 Stephens, M.; Gibbs, A.R.; Pooley, F.D.; Wagner, J.C. (ref_3) 1987; 42 Hillerdal, G. (ref_10) 1984; 10 Gibbs, A.R. (ref_15) 1987 Wright, G.W.; Kuschner, M. (ref_20) 1977 McDonald, A.D.; McDonald, J.C. (ref_29) 1987 Pooley, F.D.; Wagner, J.C. (ref_16) 1988 Lee, K.P. (ref_23) 1985; 14 Wagner, J.C.; Pooley, F.D.; Berry, G. (ref_14) 1982; 26 Churg, A.; Warnock, M. (ref_12) 1980; 122 Davis, D. (ref_2) 1983; 287 Lee, K.P.; Kelly, D.P.; GL, Jr, Kennedy (ref_22) 1983; 71 Davies, J.M.G. (ref_27) 1984; 39 Wagner, J.C. (ref_1) Sebastien, P.; Janson, X.; Gaudichet, A.; Hirsch, A.; Bignon, J. (ref_17) 1980; 11 Morgan, A.; Holmes, A. (ref_24) 1980; 37 Pooley, F.D.; Clark, N.J. (ref_6) 1979; 22 Large, A. (ref_8) 1980; 22 Morgan, A.; Talbot, R.J.; Holmes, A. (ref_26) 1978; 35 |
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SubjectTerms | Aged Aged, 80 and over Amphiboles Asbestos Asbestos - adverse effects Asbestos - analysis Asbestos, Amosite Asbestos, Crocidolite Asbestos, Serpentine Epidemiology Fibers Fibrosis Humans Lung - chemistry Lung diseases Lungs Male Mesothelioma Middle Aged Mineral fibers Minerals Occupational Diseases - etiology Occupational exposure Pathology Pleura Pleura - chemistry Pleura - pathology |
Title | Fibre distribution in the lungs and pleura of subjects with asbestos related diffuse pleural fibrosis |
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