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
- Falling
In one study, the addition of high-dose N-acetylcysteine (600 mg orally three times daily) to low-dose prednisolone and azathioprine was associated with a significant reduction in the fall in lung function (FVC and DLCO) at 12 months. 34 A subsequent [nps.org.au]
The best management strategy for “IPAF” patients is still unclear, and the tendency is to fall back on the use of corticosteroids and immunosuppressants on the basis of the patient's “autoimmunity”. [archbronconeumol.org]
Mit linearer IgA/IgG-bullöser Dermatose assoziierte Lungenerkrankungen treten extrem selten auf; nach unserem Wissen ist dies der erste Bericht über einen solchen Fall von interstitieller Pneumonie. [karger.com]
These causes of interstitial lung disease fall into three main categories: Autoimmune diseases Your body’s immune system attacks and damages the lungs and other organs in these conditions: dermatomyositis: an inflammatory disease that causes muscle weakness [healthline.com]
Coleman et al. did report, however, that the more aggressive cases of hypersensitivity pneumonitis in their study were those in which an underlying antigen was not identified and it may be that these cases fall into the idiopathic bronchiolocentric interstitial [nature.com]
Respiratoric
- Pneumonia
The commonality of our cases was a combination of bronchiolitis and interstitial inflammation and fibrosis but little or no intra-alveolar organizing pneumonia. [ncbi.nlm.nih.gov]
Pneumonia and exacerbation of interstitial pneumonia were the main causes of respiratory failure. [medical-dictionary.thefreedictionary.com]
[…] interstitial pneumonia (NSIP) Cryptogenic organizing pneumonia (COP) Organizing pneumonia (OP) Lymphoid interstitial pneumonia (LIP) Lymphoid interstitial pneumonia (LIP) USUAL INTERSTITIAL PNEUMONIA/IDIOPATHIC PULMONARY FIBROSIS Section: UIP/IPF is [atsjournals.org]
- Cough
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]
[…] gren syndrome, chest pain, cough, dyspnea, and biopsy-proven lymphoid interstitial pneumonia (LIP). [ajronline.org]
- Dyspnea
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]
Cardiovascular
- Hypertension
[…] of interferon treatment with a wide spectrum of lung tissue conditions, including interstitial pneumonitis, pulmonary sarcoidosis, bronchiolitis obliterans organizing pneumonia, pleural effusion, exacerbation of bronchial asthma, reversible pulmonary hypertension [ncbi.nlm.nih.gov]
hypertension associated with chronic obstructive pulmonary disease (PH-COPD), and pulmonary hypertension associated with sarcoidosis (PH-Sarc). [bellerophon.com]
Read more November 15, 2017 November 15, 2017 The Pulmonary Hypertension Association of Canada is conducting a Life in Purple Challenge this month as part of its efforts to mark November as Pulmonary Hypertension Awareness ... [lungdiseasenews.com]
Our team provides comprehensive care to patients with all types of respiratory and sleep conditions, including asthma, chronic obstructive pulmonary disease (COPD), obstructive sleep apnea (OSA), pulmonary hypertension, lung cancer, pulmonary fibrosis [chihealth.com]
Red Cell Distribution Width May Be a Biomarker for Early Pulmonary Hypertension in SSc Red cell distribution width may help detect early incident PH in patients who are at high risk for PH development. [rheumatologyadvisor.com]
Eyes
- Eye Pain
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]
Uveitis is inflammation of the middle layer of the eye, called the uvea or uveal tract. It can cause eye pain and changes to your vision. Most cases get better with treatment – usually steroid medicine. [nhs.uk]
Call your healthcare provider or eye care provider right away if you have any symptoms. This includes eye pain or reduced vision. You may need to see an eye care provider that same day. [cedars-sinai.org]
Distinguishing symptoms of iritis may include: Irritation and redness of the eye Eye pain Sensitivity to light Blurred vision The appearance of floaters Diagnosis of Iritis Iritis is diagnosed after a physical examination of the eye has taken place. [cincinnatieye.com]
Whenever a patient presents with eye pain, tearing, photophobia, vision loss and a red eye in the absence of trauma, the patient must be referred to an ophthalmologist as soon as possible. [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
- 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]
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]