Presentation
The present report provides important clinically-relevant information on the current approach to diagnosis and management of chronic interstitial lung diseases in children. [ncbi.nlm.nih.gov]
Our patient presented with more of a chronic presentation as she had prior exposure to nitrofurantoin for more than 2 years. [link.springer.com]
These are presented in box 7. [jcp.bmj.com]
Respiratoric
- Cough
Many patients with interstitial lung disease have their chronic cough mistakenly attributed to that condition when, in fact, the cough is due to more common disorders such as asthma, upper airway cough syndrome (previously referred to as postnasal drip [journals.lww.com]
We describe a case with chronic interstitial lung disease and chronic cough that was attributed to P. jirovecii. [ncbi.nlm.nih.gov]
Chronic presentation occurs over weeks to years and consists of a progressive dry cough and progressive dyspnea [ 18, 19, 20 ]. [link.springer.com]
Most people with this condition also have a dry cough. A dry cough means you do not cough up any mucus or sputum. Over time, weight loss, fatigue, and muscle and joint pain are also present. [medlineplus.gov]
Patients with chronic HP often describe chronic symptoms, such as shortness of breath or cough, that have gotten worse. [houghton.moneomed.com]
- Dry Cough
CONCLUSION The diagnosis of ILD should be made after no more than 3 weeks during the evaluation of chronic exertional dyspnea and dry cough. [consultant360.com]
Symptoms of interstitial lung disease include: shortness of breath, and a dry cough. Treatment depends on the underlying cause of the inflammation. [emedicinehealth.com]
Most people with this condition also have a dry cough. A dry cough means you do not cough up any mucus or sputum. Over time, weight loss, fatigue, and muscle and joint pain are also present. [medlineplus.gov]
They are often symptomatic for shortness of breath and a dry cough. The diseases can be difficult to diagnose and vary from patient to patient. [academicdepartments.musc.edu]
Chronic presentation occurs over weeks to years and consists of a progressive dry cough and progressive dyspnea [ 18, 19, 20 ]. [link.springer.com]
- Dyspnea
For example, exertional dyspnea in ILD resembles dyspnea experienced by patients with more common ailments such as asthma, COPD, and heart disease. [consultant360.com]
Symptoms and Signs Early: cough, fatigue and dyspnea on exertion, chest exam may be unremarkable or reveal inspiratory crackles at lung bases. Late: dyspnea at rest, weight loss; clubbing, cyanosis, and right ventricular failure. [lumen.luc.edu]
[…] doi: 10.1097/01.mcp.0000174249.07762.37 Interstitial lung disease Abstract Author Information Authors Article Metrics Metrics Although dyspnea is the most common and distressing symptom in patients with chronic interstitial lung disease, chronic cough [journals.lww.com]
[…] interstitial lung disease (ILD) a respiratory disorder characterized by a dry, unproductive cough and dyspnea on exertion. [medical-dictionary.thefreedictionary.com]
- Exertional Dyspnea
TREATMENT Refrain from empiric drug treatment(s) until the cause of exertional dyspnea and dry cough is sufficiently clear and other more common causes of exertional dyspnea are eliminated, such as COPD and heart failure. [consultant360.com]
Clinical Signs and Symptoms The most common symptoms are dyspnea on exertion and cough. The most prominent symptom is progressive dyspnea on exertion, which is often associated with abnormalities in the chest radiograph. [archbronconeumol.org]
Case Report In early 2015, a 73-year-old female presented for evaluation of a persistent dry cough that started 2 years ago and had progressively worsened with exertional dyspnea over the past week. [link.springer.com]
- Pulmonary Disorder
CONCLUSIONS: Chronic interstitial lung diseases in children are a group of rare pulmonary disorders, but a relevant one because of the possible progression to pulmonary fibrosis. [ncbi.nlm.nih.gov]
ILD includes many different pulmonary disorders, and some symptoms may vary based on an individual condition. [lunginstitute.com]
Jihane_Faress,_MD: Pulmonary rehabilitation is a great tool for muscular conditioning in a variety of chronic pulmonary disorders including IPF. The patients who benefit most from it are those who have moderate-to-severe pulmonary limitation. [my.clevelandclinic.org]
Skin
- Skin Rash
rash lupus : a condition in which the immune system attacks many types of tissue, including the skin, joints, and other organs mixed connective tissue disease: a condition that has symptoms of several connective tissue diseases, including polymyositis [healthline.com]
All of the 38 enrolled patients suffered from skin rashes, myopathy or respiratory symptoms (or a combination thereof). [academic.oup.com]
- Dermatitis
Serum biomarkers such as cytokines and chemokines could be affected by the whole disease status, including myositis, dermatitis and ILD, in PM/DM. [academic.oup.com]
Workup
A proper and detailed history looking for the occupational exposures, and for signs of conditions listed above is the first and probably the most important part of the workup in patients with interstitial lung disease. [en.wikipedia.org]
[…] can also be found in other diseases such as CTDs, which is another ILD classification, but is idiopathic when the cause is unknown despite a comprehensive workup. [consultant360.com]
In a prospective analysis of consecutive patients with early stage IPF undergoing initial workup with RHC and pulmonary function testing, H amada et al. [ 18 ] observed that the prevalence of PH in this patient population was as low as 8.1%. [err.ersjournals.com]
BAL cell count and differential may be useful in the diagnostic workup of the hospitalized patient with ILD. [bmcmedicine.biomedcentral.com]
X-Ray
- Pulmonary Infiltrate
[…] enlarged nodes and pulmonary infiltrates. [archbronconeumol.org]
Chronic Eosinophilic Pneumonia Cough, dyspnea, wheezing, fever, malaise, blood eosinophilia, and dense focal alveolar infiltrates. Cause unknown; course in subacute or chronic. CXR: "photographic negative of pulmonary edema." [lumen.luc.edu]
Usefulness of open lung biopsy in mechanically ventilated patients with undiagnosed diffuse pulmonary infiltrates: influence of comorbidities and organ dysfunction. Crit Care. 2007;11:R93. [bmcmedicine.biomedcentral.com]
- Kerley A Lines
Lymphangitic Carcinomatosis Progressive dyspnea; CXR showing Kerley B lines, restrictive defect on PFTs; biopsy showing malignant cells. [lumen.luc.edu]
Pulmonary Function Test
- Decreased Lung Compliance
Give some examples of obstructive lung disorders (4). -Asthma -COPD (emphysema/chronic bronchitis) -Bronchiectasis -Cystic Fibrosis Summarize restrictive lung disorders. Characterized by reduced lung volumes/decreased lung compliance. [quizlet.com]
Treatment
Early diagnosis and a long-term, specialized treatment and follow-up are important for the patient outcome. Pediatricians should be aware of these diseases because in many cases diagnosis and treatment are overlooked. [ncbi.nlm.nih.gov]
Despite several efforts to improve efficacy of treatment in IPF, only permanent treatment with varying dosages of giucocorticosteroids has been shown to partially improve lung function in IPF. [jhu.pure.elsevier.com]
Talmadge King, Harold Collard, and Luca Richeldi, bring you up to date with increased understanding, new treatment protocols, and recent advances in the field. [books.google.com]
Specific Treatment The treatment of acute respiratory failure in patients with ILD has two components. The first is supportive; the second is aimed at treating identifiable underlying etiologies. [clinicaladvisor.com]
Prognosis
Prognosis The prognosis of acute respiratory failure in patients with ILD in general, and IPF specifically, is poor, especially for those who require ICU admission and/or mechanical ventilation. [clinicaladvisor.com]
The prognosis is often poor. [ncbi.nlm.nih.gov]
The prognosis of patients with PLCH and PH is still not well known. [err.ersjournals.com]
Prognosis. In the case of pneumonitis with a good response to treatment, the prognosis is favorable. The prognosis for fibrosis is variable. [archbronconeumol.org]
Etiology
The first is supportive; the second is aimed at treating identifiable underlying etiologies. [clinicaladvisor.com]
This review summarizes the pathologic spectrum of idiopathic interstitial pneumonias together with other inflammatory process with known or suggestive etiologies simulating interstitial pneumonias. [jpatholtm.org]
[…] such as connective tissue diseases and hypersensitivity pneumonia IPF was previously called chronic interstitial pneumonitis or cryptogenic fibrosing alveolitis Sites Bottom of lower lobes of bilateral (or "bibasilar") lung Pathophysiology / etiology [pathologyoutlines.com]
[…] recovery. interstitial lung disease Diffuse interstitial pulmonary fibrosis Pulmonology A group of disorders characterized by scarring of deep lung tissue, leading to SOB and loss of functional alveoli, limiting O 2 exchange; ILD is more common in smokers Etiology [medical-dictionary.thefreedictionary.com]
Idiopathic Pulmonary Fibrosis is a type of chronic interstitial lung disease of unknown etiology characterized by the scarring of the lungs resulting in decreased lung function. [academicdepartments.musc.edu]
Epidemiology
CDC has initiated a series of toxicologic studies and is considering additional epidemiologic investigation within the flocking industry. [cdc.gov]
Based on the Bernalillo County, NM, USA registry data published in 1994, the overall estimated incidence is approximately 30 cases per 100,000 persons per year. [2] Rates of interstitial lung disease are somewhat higher in men than in women, and the epidemiology [emedicine.medscape.com]
Pathophysiology NA Epidemiology The overall incidence of acute respiratory failure in patients with ILD has not been well established. Infection and acute exacerbations of underlying ILD appear to be the most common precipitating etiologies. [clinicaladvisor.com]
Epidemiology Epidemiological data on DILD are sparse. The incidence and prevalence reported in the literature are highly variable because the epidemiological methods used differ from one study to another. [archbronconeumol.org]
However, self-report of physical activity and sedentary behaviors are well-accepted sensitive tools in epidemiological studies and show good prognostic value [ 2, 3, 11 ]. [karger.com]
Pathophysiology
In addition, recommendations for the management of paediatric interstitial lung diseases, as well as new insights into interstitial lung diseases pathophysiology during childhood are discussed. [ncbi.nlm.nih.gov]
Serum IL-8 levels and the balance between IL-4 and IFN-γ may contribute to the differences in pathophysiology between anti-ARS-ILD and anti-MDA5-ILD. [academic.oup.com]
[…] seen in other etiologies such as connective tissue diseases and hypersensitivity pneumonia IPF was previously called chronic interstitial pneumonitis or cryptogenic fibrosing alveolitis Sites Bottom of lower lobes of bilateral (or "bibasilar") lung Pathophysiology [pathologyoutlines.com]
Pathophysiology NA Epidemiology The overall incidence of acute respiratory failure in patients with ILD has not been well established. Infection and acute exacerbations of underlying ILD appear to be the most common precipitating etiologies. [clinicaladvisor.com]
Prevention
As no ILD primary prevention studies have been previously conducted, we propose that research studies that promote implementation of primary prevention strategies could, over time, make a subset of ILD preventable. [vivo.med.cornell.edu]
Prevention Since the late 1970s, many regulations have been enacted to protect workers from asbestos exposure. Reducing or eliminating asbestos exposure is the best way to prevent asbestosis. [asbestos.com]
Is there a way to prevent chILD? There’s no way to prevent chILD but you can take steps to avoid diseases that may make it worse. Frequent hand-washing and keeping your child away from pollutants like cigarette smoke can improve her quality of life. [childrens.com]
Getting a flu shot every year can help prevent both the flu and pneumonia. In addition, pneumococcal bacteria can cause minor problems such as ear infections. [cedars-sinai.edu]
Can interstitial lung disease be prevented? Interstitial lung disease can be prevented only to the extent that its individual causes may be prevented. [rxlist.com]