Study of interstitial lung diseases at a tertiary care center
Journal Title: IP Indian Journal of Immunology and Respiratory Medicine - Year 2018, Vol 3, Issue 3
Abstract
Introduction Interstitial Lung Diseases are frequent causes of morbidity and mortality and are frequently diagnosed because of the usage of High Resolution Computerised Tomography HRCT Interstitial Lung Diseases ILDs result from known and unknown causes and result in variable amount of interstitial and pulmonary parenchymal inflammation and fibrosisMaterial and Methods A total of 104 patients diagnosed on the basis of clinical and radiological criteria as interstitial Lung disease attending Katuri Medical College Hospital Guntur from June 2015 to June 2018 above 18 years of age were taken in to the studyResults Predominant interstitial lung disease was idiopathic interstitial fibrosis IPF 46 NonIPF interstitial lung diseases constituted 56 Females outnumbered males in our study with a ratio of 171 Mean age of the ILD patients was 5019 Cough and breathlessness were universal in our ILD patients There are equal number of smokers and nonsmokers 75 of patients presented with Grade II MMRC or more 75 of our patients of ILD desaturated on 6 minute walk testing PFT revealed restrictive pattern in 69 mixed pattern in 2692 and obstructive pattern in 4 50 of patients had DLCO of more than 60 Smoking history correlated with decrease in DLCO BAL fluid analysis suggested neutrophilic preponderance in 42 and lymphocytic preponderance in 58Basing on the clinical and radiological criteria IPF was diagnosed in 46 NSIP in 21 NSIP CTD in 12 and Hypersensitivity Pneumonitis in 14 625 had associated pulmonary arterial hypertension Smoking history correlated with presence of PAHConclusions ILDs are common in clinical practice Diagnosed predominantly after the frequent usage of HRCT in symptomatic patients History analysis clinical examination chest Xray bronchoscopy bronchoalveolar lavage BAL pulmonary Function Testing six minute walk test echocardiography carbon dioxide diffusion capacity DLCO testing help in the diagnosis Keywords Desaturation Sarcoidosis Hypersensitivity pneumonitis Pulmonary arterial hypertension
Authors and Affiliations
Ramakrishna Rachakonda, Nandeeswara Reddy CV
Keywords
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- EP ID EP490604
- DOI 10.18231/2581-4222.2018.0032
- Views 75
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