Asbestosis or Not? A Call for Accurate Identification of Asbestos- Related Diseases in Thailand

Asbestos exposure can cause several pulmonary and pleural diseases, known as asbestos-related diseases (ARDs). Pleural plaque (PP) is the most common manifes- tation of asbestos exposure. In Thailand, asbestosis is rarely reported despite ongoing asbestos use. Accurate diagnosis of ARDs is crucial, especially in countries where asbestos consumption remains high but the number of confirmed cases is disproportionately low. We reported a 76-year-old male with an initial diagnosis of pleural plaque (PP) and early asbestosis. However, after a complete investigation utilising prone computed tomography, the final diagnosis was rectified to isolated PP without evidence of asbestosis. This case highlights the importance of accurate case identification for better national reporting, stronger prevention programs, and more effective policies on asbestos control in Thailand.