ABSTRACT

Beryllium is the fourth lightest element (atomic weight ¼ 9.02) and has chemical properties that make it an excellent material for high-technologic applications.

Unfortunately, it continues to cause a significant burden of illness among those

who work with the material. Lighter than aluminum and stronger than steel,

beryllium has a low density (1.85 g/cm3), high melting point (23498F), high tensile strength and is corrosion resistant. Exposure to beryllium metal, oxide or

alloy dust and fume occurs during the extraction of the mineral from its ores,

beryl and bertrandite, and processing of beryllium into metal alloys and ceramic

products. Perhaps most importantly, exposure occurs during secondary

machining and processing of copper beryllium, aluminum-beryllium, and nickel-

beryllium alloys and ceramic products in other industries, including aerospace,

automotive, biomedical, defense, energy and electrical, manufacturing, sporting

goods, telecommunications, and the recycling and disposing of beryllium-

containing products, such as cell phones, computers, circuit boards, and assorted

electronic parts (Table 1). The spreading use of beryllium in high-technology

applications and various other industries has created a serious public health

problem. (1) The problem is worldwide, with cases of chronic beryllium disease

(CBD) or berylliosis being reported throughout North America, Europe, Asia,

Russia, and Japan. (1) This chapter summarizes our present knowledge, based on

epidemiologic workplace studies, research on the role of the immune response to

beryllium, immunogenetics, and clinical research addressing the recent devel-

opments in CBD detection, diagnosis, and treatment.