Document e7yeo8XGwRgQjzVy0B0neJnYM

ASBESTOSIS 115 Fio 25.--Male aged 49 yean (1953). 1926-38, asbestos millboard cutter; 1938-43, timekeeper and gatekeeper; 1943 el stq., despatch clerk Typical radiographic appearance* of advanced aibestosla; dabbing of fingers Ute Fig. 13). At present working regularly. {By eauruuy of Or. IT. tt'yrrr) of the fingers and sometimes of the toes. Out or Wyers' scries of S3 con secutive cases, clubbing of the fingers was present in 29 cases (Wyers, 1949). Complications of asbesiosis.--Pulmonary tuberculosis occurs as a com plication, but there does not seem to be the same close relationship to asbestosis as exists in silicosis. An excess mortality from cancer of the lung and other organs has been recorded by several observers. Wyers, the medical officer to a large asbestos manufacturing company, stated in 1949 (see Table V) that he had collected details of 1 IS deaths from asbestosis, and that of these cases 11 males and 6 females showed pulmonary cancer, whilst cancer of other organs was present in 3 males and 4 females (in the pancreas, colon, stomach and ovary). Despite the frequency of dubbing of the fingers, frank infective bronchiectasis is unusual. Congestive heart failure and broncho pneumonia arc common terminal conditions. Radiological appearances in asbestosis Often the first fact which impresses the reader is the smallness of the chest, as if tho lungs were shrunken from apex to base. The next feature Is a general haziness of the lung fields; this has been described as veiling or a