Clinical significance of detecting asbestos bodies in bronchoalveolar lavage fluid in diffuse lung disease

The presence of ≥1 AB/mL in the BALF reflects substantial asbestos exposure and is associated with pleural plaques on CT imaging but not with BAL cellular patterns or the rate of decline in respiratory function. These findings suggest that AB detection in BALF has limited predictive value for respiratory function decline but could be valuable for identifying unrecognized asbestos exposure in patients with diffuse lung disease.

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Publication Details

Journal
Respiratory Medicine
Published
2026-01-08
DOI
https://doi.org/10.1016/j.rmed.2026.108642
Primary Topic
Occupational and environmental lung diseases
Type
article
Field-Weighted Citation Impact
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article

Clinical significance of detecting asbestos bodies in bronchoalveolar lavage fluid in diffuse lung disease

Masanori AKIRA, Y Inoue, Yuji Inagaki, Yasunobu Matsuda et al.
Respiratory Medicine
Occupational and environmental lung diseases
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Clinical significance of detecting asbestos bodies in bronchoalveolar lavage fluid in diffuse lung disease

Masanori AKIRA, Y Inoue, Yuji Inagaki, Yasunobu Matsuda, Chikatoshi Sugimoto, Tomoaki Teramoto, Toru Arai, Shigeki Shimizu
article en

Abstract

The presence of ≥1 AB/mL in the BALF reflects substantial asbestos exposure and is associated with pleural plaques on CT imaging but not with BAL cellular patterns or the rate of decline in respiratory function. These findings suggest that AB detection in BALF has limited predictive value for respiratory function decline but could be valuable for identifying unrecognized asbestos exposure in patients with diffuse lung disease.

Respiratory MedicineVol. 252
Fukujuji Hospital (JP), NHO Kinki Chuo Chest Medical Center (JP), Kitano Hospital (JP), Wakamoto Pharmaceutical (Japan) (JP)
Good health and well-being
Openalex Percentile: Top 94%
Occupational and environmental lung diseases
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