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Interstitial Lung Diseases

July 31, 2012  by: Dr. Simran Kaur  Points: 12   Category: Health  Earning $0.30   Views: 366

Interstitial lung diseases also known as diffuse parenchymal lung diseases. Interstitial lung diseases are those chronic diseases in which the interstitial tissues of the lungs are affected.

         

Interstitial lung diseases also known as diffuse parenchymal lung diseases. Interstitial lung diseases are those chronic diseases in which the interstitial tissues of the lungs are affected.

Causes-

1. Idiopathic interstitial fibrosis.

2. Rheumatoid arthritis, ankylosing spondylitis, Sjogren’s syndrome.

3. Sarcoidosis.

4. Wegener’s granulomatosis.

5. Chronic liver disease.

6. Asbestos chronic exposure.

7. Radiation.

8. Harmful effects of drugs.

9. Toxins.

10. Aspiration pneumonia, silicosis.


Symptoms-

1. In acute cases, there is cough, dyspnoea and fever which are caused due to side effects of drugs, idiopathic interstitial pneumonia and hypersensitivity pneumonitis.

2. In sub-acute cases, there is cough and dyspnoea persistently occurring from over weeks to months.

3. In chronic cases, the following symptoms are there persistently from months to years-

a) Shortness of breath on exertion.

b) Fatigue, decreased appetite, weight loss.

c) Dry cough with chest pain and haemoptysis.

d) Bilateral superficial crepitations are there.


Investigations-

1. TLC test.

2. ESR test.

3. Urine test.

4. Liver function tests.

5. Rheumatoid factor test.

6. Angiotensin converting enzyme level test.

7. Chest x-ray.

8. CT scan of chest.

9. Pulmonary function tests.

10. Arterial blood gas studies.

11. Bronchoscopy.

12. Lung biopsy.


Treatment-

1. Treat underlying cause with suitable medicines under doctor’s supervision.

2. Removal of aggravating factors.

3. Surgery.

4. Oxygen therapy only if Pa02 is less than 55mmHg.




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