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Medicina Legal de Costa Rica

versión On-line ISSN 2215-5287versión impresa ISSN 1409-0015


RODRIGUEZ, Enrique Arce et al. Las enfermedades pulmonares intersticiales difusas en el ámbito laboral. Med. leg. Costa Rica [online]. 2015, vol.32, n.1, pp.125-133. ISSN 2215-5287.

Diffuse interstitial lung disease (ILD) refers to a heterogeneous group of lung conditions characterized clinically by dyspnea, worsening of lung function and radiologically by an evident interstitial infiltration predominantly affecting the lung bases. There is no standard classification on it, but many authors tend to separate it into one of two groups: those with known cause, secondary to diseases of unknown cause and those idiopathic (with 7 clinical identities described). It is known that the condition is also directly associated with irritating materials, agents and chemicals such as asbestos, silicon, and carbon commonly used in industrial fields, so that people continouslly working with these have an increased risk of developing this disease. Despite measures, precautions and regulations imposed by various organizations of health promotion, ILD remains one of the major diseases acquired in work environments and it is of great clinical importance since these patients may have a rapid impaired lung function. This factor, besides the fact that its pathophysiology , incidence and natural history have failed to be sufficiently understood , constitute the base supporting the following review. Finally, we must know that there may be a long time between exposure to the causative agents of disease and the onset of clinical manifestations so that patients could present the diagnoses years or even decades after exposure. Hence derives the importance of proper regulations (eg, prophylactic holidays) and prevention to avoid the possible consequences of such a dark prognosis disease.

Palabras clave : Interstitial lung disease; silicosis; asbestosis; berylliosis; occupational exposure.

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