Presentation
We present the case of a 65-year-old man who presented with symptoms of fever, shortness of breath and a non-productive cough, 2 weeks after initiation of therapy with mesalamine. [ncbi.nlm.nih.gov]
In addition, the presentation of a patient with AIP may overlap with the clinical presentation of patients with underlying fibrotic disease who present with an acute exacerbation. [emedicine.medscape.com]
Entire Body System
- Pain
Abstract Carbamazepine is a therapeutic anticonvulsant, used to manage pain. We often use it to treat trigeminal and post-herpes zoster neuralgias. [ncbi.nlm.nih.gov]
Care for Iritis Notify your eye doctor if any of the following signs or symptoms of iritis are present: Eye pain, including pain associated with bright light Blurred vision Redness in the eye, especially near the iris If you cannot reach your eye doctor [webmd.com]
Treatment of Iritis To treat iritis, the patient will be encouraged to wear dark glasses and take drops to dilate the pupil to relieve pain and pressure. [cincinnatieye.com]
When to get medical advice Contact a GP as soon as possible if you have persistent eye pain or an unusual change in your vision, particularly if you've had previous episodes of uveitis. [nhs.uk]
- Weakness
Pulmonary Fibrosis Lungs Dry cough Shortness of breath Fatigue Weakness Chest pain Loss of appetite Weight loss Clubbed fingers or toes Environmental and occupational exposures Smoking Drug use Rheumatologic disorders Radiation therapy Overview Pulmonary [fibrosis.northwesternmedicine.org]
Symptoms may include: Shortness of breath, especially with exertion Fatigue and weakness Loss of appetite Loss of weight Dry cough that does not produce phlegm Discomfort in the chest Labored breathing Hemorrhage in the lungs The symptoms of interstitial [stanfordhealthcare.org]
[…] medications Various environmental and occupational exposures Advanced age Genetics/family history Autoimmune conditions Smoking Prior radiation or chemotherapy Classic Symptoms Shortness of breath when at rest or with movement Chronic dry cough Fatigue Weakness [hospitals.jefferson.edu]
[…] taotluse korral võivad liikmesriigi pädevad asutused kehtivuse tähtaega pikendada ajavahemikuks, mis ei ületa nelja kuud en Side effects related to spread of toxin distant from the site of administration have been reported very rarely (excessive muscle weakness [et.glosbe.com]
Because of the weakness it creates in the abdominal wall, it is the most frequent site for a hernia. (12 Dec 1998) inguinal crest An elevation in the body wall of the embryo at the internal opening of the inguinal canal; part of the gubernaculum testis [kmle.co.kr]
- Collapse
Both alveolar collapse and mural incorporation of intraalveolar exudates contribute to the alveolar septal thickening seen by light microscopy. [atsjournals.org]
Areas of alveolar collapse with fibrosis and elastic fiber proliferation in a subpleural distribution are similar to idiopathic pleuroparenchymal fibroelastosis (elastic stain, scanning power magnification; image courtesy of Y. [archivesofpathology.org]
BAL volume is adjusted to body weight using 3 mL/kg of sterile normal saline divided into three equal fractions in children weighing 20 kg. 29 Negative suction pressure should be adjusted to avoid visible airway collapse. [doi.org]
Respiratoric
- Pleural Effusion
Abstract Pulmonary toxicity is a rare side effect of interferon treatment with a wide spectrum of lung tissue conditions, including interstitial pneumonitis, pulmonary sarcoidosis, bronchiolitis obliterans organizing pneumonia, pleural effusion, exacerbation [ncbi.nlm.nih.gov]
They are mostly seen in the pulmonary hilum (Station 10), lower paratrachea (Station 4) and subcarina (Station 7). 3, 5 Pleural effusion Small amounts of pleural effusion are seen in 10–35% of patients. [doi.org]
effusion Smoking cessation Lung cancer screening Interstitial lung disease Laboratory and home sleep studies and treatment Bronchoscopic and pleural interventions The knowledge and expertise of our board-certified physicians ensures patients feel comfortable [chihealth.com]
effusion associated with pulmonary infection Pleural scarring Pulmolithiasis Pulmonary hyalinizing granuloma Pulmonary hysteresis Pulmonary lymphangioleiomyomatosis Pulmonary mycotoxicosis Pulmonary ossification Restrictive lung disease Restrictive lung [icd9data.com]
Gastrointestinal
- Constipation
Meanwhile, Ardelyx also faces a big decision with its lead asset, tenapanor, in constipation-predominant irritable bowel syndrome (IBS-C). [evaluate.com]
Psychiatrical
- Withdrawn
The case was marked by progression of the respiratory symptoms even after the withdrawn of the pegylated interferon. [ncbi.nlm.nih.gov]
Neurologic
- Dizziness
The case reported describes a 27-year-old woman with no smoking history who worked in a potato chip factory, presenting with cough, dyspnea and dizziness. [ncbi.nlm.nih.gov]
- Asthenia
Widely described in the literature, the main adverse events are hematotoxicity, digestive toxicity, asthenia, cutaneous toxicity, and infections such as neutropenic sepsis and pneumonia. [ncbi.nlm.nih.gov]
Workup
The results of an extensive workup for other causes including infections were negative and the final diagnosis was lenalidomide-induced interstitial pneumonitis. [ncbi.nlm.nih.gov]
(eg, HIV, toxoplasmosis), depending on the presentation See Workup for more detail. [emedicine.medscape.com]
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]
X-Ray
- Air Bronchogram
Consolidation in organizing pneumonia: peripheral consolidation (within the box) with air bronchogram (arrow) and areas of bubbly lucencies (asterisk) is noted in right lower lobe. [doi.org]
High-resolution CT image shows peripherally located consolidation with air bronchograms and sparing of the subpleural space (arrow). Figure 16a. Atypical appearances of COP. [pubs.rsna.org]
Air bronchograms and mild bronchial dilatation are commonly evident in regions of consolidation [ 4, 5 ]. [ajronline.org]
- Bilateral Pulmonary Opacities
This is characterized by acute worsening of dyspnea within 1 month, accompanied by new bilateral pulmonary opacities at imaging without an identifiable cause [ 5, 6 ]. [ajronline.org]
Serum
- Hypercapnia
[…] and hypercapnia ( 109 ). [doi.org]
Pleura
- Pleural Effusion
Abstract Pulmonary toxicity is a rare side effect of interferon treatment with a wide spectrum of lung tissue conditions, including interstitial pneumonitis, pulmonary sarcoidosis, bronchiolitis obliterans organizing pneumonia, pleural effusion, exacerbation [ncbi.nlm.nih.gov]
They are mostly seen in the pulmonary hilum (Station 10), lower paratrachea (Station 4) and subcarina (Station 7). 3, 5 Pleural effusion Small amounts of pleural effusion are seen in 10–35% of patients. [doi.org]
effusion Smoking cessation Lung cancer screening Interstitial lung disease Laboratory and home sleep studies and treatment Bronchoscopic and pleural interventions The knowledge and expertise of our board-certified physicians ensures patients feel comfortable [chihealth.com]
effusion associated with pulmonary infection Pleural scarring Pulmolithiasis Pulmonary hyalinizing granuloma Pulmonary hysteresis Pulmonary lymphangioleiomyomatosis Pulmonary mycotoxicosis Pulmonary ossification Restrictive lung disease Restrictive lung [icd9data.com]
Treatment
The symptoms and imaging study findings improved after initiating steroid treatment. [ncbi.nlm.nih.gov]
Prognosis
Prognosis of fibrotic interstitial pneumonia: idiopathic versus collagen vascular disease related subtypes. Am J Respir Crit Care Med, 175 (2007), pp. 705-711 [4] R. Vij, M.E. Strek. [archbronconeumol.org]
They are classified by their distinct clinical-radiological-pathological features and prognosis. They include idiopathic pulmonary fibrosis; cryptogenic organizing pneumonia; and others [icd9data.com]
OBJECTIVE: Multidisciplinary discussion is essential in establishing the diagnosis of idiopathic pulmonary fibrosis (IPF) and in determining prognosis. CONCLUSION: The CT and histopathologic correlate for IPF is usual interstitial pneumonitis (UIP). [ncbi.nlm.nih.gov]
Prognosis The prognosis is severe and early mortality is high. The documents contained in this web site are presented for information purposes only. [orpha.net]
Those with less than 5% honeycombing may pose diagnostic difficulty as differentiation from NSIP on imaging can be impossible; however, these still follow similar prognosis as other UIP patients 2 reticular opacities : in the immediate subpleural lung [radiopaedia.org]
Etiology
Diagnosis can be challenging and is usually made by exclusion of other etiologies. In this report we present two cases of sirolimus-associated pulmonary toxicity with a review of the literature. [ncbi.nlm.nih.gov]
Clinical Information A group of interstitial lung diseases with no known etiology. There are several entities with varying patterns of inflammation and fibrosis. [icd9data.com]
[…] specific etiologic agent or inciting event. [emedicine.medscape.com]
[…] 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]
Epidemiology
Author information 1 Department of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark. [email protected] Abstract Chemotherapy and radiation therapy may increase risk for interstitial pneumonitis (IP) in breast cancer patients, but there are [ncbi.nlm.nih.gov]
Summary Epidemiology Prevalence of Acute interstitial pneumonia (AIP) is estimated at 1 in 25,000. Clinical description AIP occurs over a wide age range, with a mean age of approximately 50 years. [orpha.net]
Population-based studies and registries are urgently needed in order to properly understand the epidemiology of ILD in Portugal. [journalpulmonology.org]
[…] acute respiratory distress syndrome (ARDS) attributable to an identifiable cause, as well as patients with underlying fibrotic lung disease or systemic disorders known to be associated with lung involvement such as connective tissue disease. [1, 2] Epidemiology [emedicine.medscape.com]
Pathophysiology
View Pathophysiology 8, Asthma, Pulmonary Fibrosis, COPD, Pulmonary Embolism. [cscsoftware.com]
We either mock-infected or infected the mice with MCMV by intranasal administration and monitored pathophysiological behavior and body weight. [ncbi.nlm.nih.gov]
New insight into the pathophysiology of idiopathic pulmonary fibrosis suggests a distinctly fibroproliferative process, and antifibrotic therapies show promise. [jamanetwork.com]
[…] completion of this activity, participants should be better able to: Recognize the signs and symptoms of systemic sclerosis (SSc) to facilitate earlier diagnosis and treatment to help prevent disease progression, Assess the relationship between disease pathophysiology [player.fm]
[…] 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]
Prevention
Early recognition is important to prevent unnecessary investigations and prolonged morbidity. [ncbi.nlm.nih.gov]
Can iritis be prevented? There is not much you can do to prevent iritis. If you have an autoimmune condition, taking your medicines as prescribed may help prevent iritis. [cedars-sinai.org]
Can interstitial lung disease be prevented? Interstitial lung disease can be prevented only to the extent that its individual causes may be prevented. [medicinenet.com]
Early diagnosis, and thus earlier treatment, is critical to prevent disease progression, with its irreversible fibrosis and organ damage. [player.fm]