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Byssinosis

Definition


Definition of Byssinosis
Byssinosis, also called "brown lung disease" or "Monday fever", is an occupational lung disease caused by exposure to cotton dust in inadequately ventilated working environments. Byssinosis commonly occurs in workers who are employed in yarn and fabric manufacture industries. It is not thought that the cotton dust directly causes the disease and some believe that the causative agents are endotoxins that come from the cell walls of gram negative bacteria that grow on the cotton. Although bacterial endotoxin is a likely cause, the absence of similar symptoms in workers in other industries exposed to endotoxins makes this uncertain.

Symptoms


Symptoms of Byssinosis
The list of signs and symptoms for Byssinosis listed below:

  1. Breathing difficulties
  2. Chest tightness
  3. Wheezing
  4. Cough

Causes


Causes of Byssinosis
Breathing in the dust produced by raw cotton can cause byssinosis. It is most common in people who work in the textile industry.

Those who are sensitive to the dust can have an asthma-like condition after being exposed.

Methods of prevention in the U.S. have reduced the number of cases, but byssinosis is still common in developing countries. Smoking increases the risk for this disease. Being exposed to the dust many times can lead to chronic lung disease and shortness of breath or wheezing.

Diagnosis


Diagnosis of Byssinosis
Your health care provider will take a detailed medical history, and will ask many questions to try to find out whether your symptoms relate to certain exposures or times of exposure. The health care provider will also do a physical exam, paying special attention to the lungs.

Other tests include:

  1. Chest x-ray
  2. CT scan chest
  3. Pulmonary function tests

Treatment


Treatment of Byssinosis
The most important treatment is to stop being exposed to the dust. Reducing dust levels in the factory (by improving machinery or ventilation) will help prevent byssinosis. Some people may have to change jobs to avoid further exposure.

Medications used for asthma, such as bronchodilators, will usually improve symptoms. Corticosteroids may be prescribed in more severe cases.

Stopping smoking is very important for people with this condition. Breathing treatments, including nebulizers, may be prescribed if the condition becomes long-term. Home oxygen therapy may be needed if blood oxygen levels are low.

Physical exercise programs, breathing exercises, and patient education programs are often very helpful for people with a chronic lung disease.

Prognosis


Prognosis of Byssinosis
Symptoms usually improve after stopping exposure to the dust. Continued exposure can lead to reduced lung function. In the U.S., worker's compensation may be available to people with byssinosis.

Prevention


Prevention of Byssinosis
Controlling dust, using face masks, and other measures can reduce the risk. Stop smoking, especially if you work in textile manufacturing.


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