X-RAY DIAGNOSTICS OF DOMESTIC ASBESTOSIS OF CHEST ORGANS IN DIFFERENT GENERATIONS OF ONE FAMILY

A very rare disease, family (domestic) asbestosis, is presented. An interesting feature of this disease is that none of the members of this family has ever worked at the factory of mining and manufacturing asbestos, but all of them for some time (from 6 till 12 years old) lived in the place where the factory was located. They were 29, 54 and 57 years old. The observation was done for 7 years (since 2009 till 2015). To evaluate the dynamics of the disease and to exclude one of the most serious complications, pleural mesothelioma, a multispiral computed tomography (MCT) was done once a year. The patients were examined in the advisory policlinics, sometimes in the in-patient clinic. All of them had minor clinical manifestations and according to roentgenograms obtained at the preliminary stages of the clinic observation the revealed changes were interpreted as pulmonary fibrosis. First time asbestosis with massive pleural mesothelioma was diagnosed in the members of this family in the advisory policlinic of Far-Eastern Scientific Center of Physiology and Pathology of Respiration. This proves that traditional roentgenology is inferior to modern tomography especially with multidetector system of registration and post processing imaging. The other typical feature of the observation is that this type of asbestosis can be considered to be domestic pneumoconiosis; it can be concluded that neither our patients nor any other people living in that village and having asbestosis were not informed about the harmful influence of this mineral on the body of a man beyond the place of its manufacturing. The same claims can be delegated to medical stuff and the directors of these factories who did not provide workers and villagers with necessary information. The use of the special software at MCT helped to identify some coarse wide-spread defects of pleura in the form of fibrosis and lamellar calcinosis and to evaluate qualitatively pathologic changes of pleura and register topographometrically the damage of its front, dorsal, lateral and diaphragm parts. There were not found any changes in bronchial-parenchymatous structures at MCT studies. The picture does not change at stable yearly clinical-roentgenologic examinations.

непроизводственный асбестоз, лучевая диагностика, мультиспиральная компьютерная томография, domestic asbestosis, roentgen diagnostics, computer-aided tomography

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