Update on metal-induced occupational lung disease

Purpose of review Occupational and environmental exposures to metals can result in multiple pulmonary conditions. This article will review recent epidemiologic and mechanistic studies that have enhanced our understanding of the association between particular lung diseases and exposure to specific metals. Recent findings Recent studies have broadened our understanding of the mechanisms of lung diseases such as CBD in established industries and drawn attention to conditions that may arise from exposure to metals such as indium in developing technologies. New diagnostic techniques such as elemental tissue analysis may help establish a diagnosis of metal-induced occupational lung disease. Electronic cigarette devices, environmental pollutants, and the growing use of nanoparticle-sized metals pose additional risks to workers and consumers. Summary Recognizing the risks of pulmonary disease in workers exposed to metals and performing a thorough occupational history and diagnostic work-up in patients with unexplained respiratory findings is necessary to promote understanding and prevention of metal-induced lung disease. Correspondence to Stella E. Hines, MD, MSPH, Division of Pulmonary and Critical Care Medicine and Division of Occupational and Environmental Medicine, Department of Medicine, University of Maryland School of Medicine, 11 S. Paca Street, 2nd Floor, Baltimore, MD 21201, USA. E-mail: shines@som.umaryland.edu Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.

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