Presentation
Neonatal respiratory distress is a common presenting symptom, although childhood interstitial lung disease and pulmonary fibrosis can also be presenting diagnoses.. [hopkinsmedicine.org]
Six were symptomatic at birth with 10 of the 11 presenting at or before 3 months of age. The most common presenting sign was tachypnoea associated with rib indrawing, occurring in nine cases. [adc.bmj.com]
In the present report, we reviewed our experience with 10 infants during a 10-year period. In 9 patients, onset of symptoms occurred before the age of 2 months and included tachypnea, cough, and inadequate weight gain. [ncbi.nlm.nih.gov]
Occasionally, patients present withbegan. [slideshare.net]
Entire Body System
- Weight Loss
Prevention of intertrigo During patient instruction, emphasize topics such as weight loss, glucose control (in patients with diabetes), good hygiene, and the need for daily care and monitoring. [emedicine.medscape.com]
General physical findingsGeneral physical findings Growth retardation, signs of weight loss,Growth retardation, signs of weight loss, and/or failure to thrive may be evident.and/or failure to thrive may be evident. Hypoxemia on room air is common [slideshare.net]
Bariatric Surgery Seminar Bariatric Weight Loss Surgery Seminar Better Breathers Club Support and information for those with respiratory diseases. [app.peacehealth.org]
If overweight, weight loss is recommended. For persistent irritation, 0.5–1.0% hydrocortisone cream twice daily may help. Discontinue if you are no better after 2 weeks of use. [skinsight.com]
Weight loss may be helpful as well. Sometimes, a bacterial or fungal infection can develop at the site of your intertrigo. If this happens, you may need a medication to heal your skin. Sept. 28, 2019 Bolognia JL, et al. Pruritus and dysesthesia. [mayoclinic.org]
Respiratoric
- Chronic Cough
cough Shortness of breath, which might include trouble with exercise or physical activity Problems growing and gaining weight Reflux (food or drink travels from the stomach up the esophagus to the throat or mouth) Many episodes of pneumonia Chest CT [cincinnatichildrens.org]
Pulmonary disease, usually starting in adult life, presents with chronic nonproductive cough, progressive dyspnoea and restrictive pattern [ 64 ]. [err.ersjournals.com]
- Rales
[…] bradycardia Transient myocardial dysfunction (eg, systolic blood pressure < 100 mm Hg or overt hypotension, elevated jugular venous pressure, dyskinetic apex, reverse splitting of S2, presence of S3 or S4, new or worsening apical systolic murmur, or rales [emedicine.medscape.com]
Cardiovascular
- Heart Disease
[…] of early coronary heart disease (a close relative such as a sibling or parent had heart disease before age 55 in a man or before age 65 in a woman) High blood pressure High LDL cholesterol Low HDL cholesterol Male gender Sedentary lifestyle (not getting [medlineplus.gov]
[…] failure, with the heart having difficulty pumping blood to the rest of the body) Heart disease Lung cancer: Pulmonary fibrosis is associated with an increased risk of developing lung cancer Blood clots in the legs which can travel to the lungs (pulmonary [verywell.com]
Right heart failure or acute pulmonary heart disease – is a serious condition characterized by the inability of the heart (right ventricle) to ensure and to pump enough blood to flow through the pulmonary arteries. [doctortipster.com]
For patient information, see Cholesterol Center and Heart Health Center, as well as Cholesterol FAQs, Heart Disease FAQs, Angina Pectoris, Chest Pain, High Cholesterol, Cholesterol Charts (What the Numbers Mean), Lifestyle Cholesterol Management, Cholesterol-Lowering [emedicine.medscape.com]
Hypertensive heart disease is listed in the Hypertension table under Hypertension, cardiovascular disease, with, heart failure, unspecified (as opposed to malignant or benign) as code 402.91. You also have to code the CHF (congestive heart failure). [quizlet.com]
Workup
[…] assess patients with suspected unstable angina: Chest radiography Echocardiography Computed tomography angiography Magnetic resonance angiography Single-photon emission computed tomography Magnetic resonance imaging Myocardial perfusion imaging See Workup [emedicine.medscape.com]
X-Ray
- Pulmonary Infiltrate
[…] enlarged nodes and pulmonary infiltrates. [archbronconeumol.org]
[…] hemosiderosisPulmonary hemosiderosis Goodpasture diseaseGoodpasture disease Pulmonary infiltrates with eosinophiliaPulmonary infiltrates with eosinophilia Pulmonary Interstial glycogenosis (PIG )Pulmonary Interstial glycogenosis (PIG ) 15. [slideshare.net]
Treatment
[…] of ILD The causes of ILD are not well understood—and this sometimes makes diagnosis and treatment difficult. [brighamandwomens.org]
Conditions that improve with immune suppressive treatment probably are not idiopathic pulmonary fibrosis. The toxicity and side effects of treatments can be serious. [medicinenet.com]
Objective 5: Assess treatment variations used, deliver data from defined protocols and linked outcomes. This project will analyse in detail treatment and outcomes within and between subjects using data collected. [clinicaltrials.gov]
Prognosis
The literature on the prevalence, predisposing factors, diagnosis, treatment, and prognosis of the infection is reviewed. [ncbi.nlm.nih.gov]
The prognosis in infancy is thought to be poor 2-4 ; a recent case series 2 recorded nine deaths out of ten patients. The authors suggested that a delay in diagnosis might have contributed to the poor prognosis. [adc.bmj.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]
Natural histories differ depending upon the genes involved and a specific diagnosis is important to provide accurate information concerning prognosis and mode of inheritance. [jhu.pure.elsevier.com]
The prognosis of pulmonary fibrosis also depends on the particular cause. [verywell.com]
Etiology
[Etiology of intertrigo in adults: A prospective study of 103 cases]. J Mycol Med. 2017 Mar;27(1):28-32. [PubMed: 27554869] 8. Kalkan G, Duygu F, Bas Y. [ncbi.nlm.nih.gov]
INTERSTIAL LUNG DISEASES OF KNOWN ETIOLOGY Aspiration syndromes Chronic infection Bronchopulmonary dysplasia Hypersensitivity pneumonitis ( drugs, environment or occupation associated ) Surfactant B or C deficiency 13. [slideshare.net]
Etiology of intertrigo Intertrigo develops from mechanical factors and secondary infection. Heat and maceration are central to the process. Opposing skin surfaces rub against each other, at times causing erosions that become inflamed. [emedicine.medscape.com]
Myofibroblasts are considered to be an important determinant in the etiology of fibrosis and inhibiting myofibroblast differentiation has become an important target for therapy. [albany.edu]
[…] and Classification The etiology of DILD is extremely varied. [archbronconeumol.org]
Epidemiology
Neurology and Neurosurgery Czech and Slovak Ophthalmology Czech and Slovak Psychiatry Czech Geriatric Review Czech Gynaecology Czech Rheumatology Czech Dental Journal Czech Urology Czech-Slovak Dermatology Czecho-Slovak Pathology Czech-Slovak Pediatrics Epidemiology [prolekare.cz]
[Clinical aspects, epidemiology and economic impact of foot epidermomycosis in an industrial milieu]. Ann Dermatol Venereol. 1986;113(6-7):521-33. [PubMed: 2949683] 10. Del Rosso JQ. [ncbi.nlm.nih.gov]
Abstract Background In geriatric and long-term care settings, intertrigo seems to be common, but generalizable epidemiological estimates are lacking. [bmcgeriatr.biomedcentral.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]
Epidemiology ILD is rare in children. Cases tend to cluster in infancy, and 10-16% appear to be familial. [slideshare.net]
Pathophysiology
Lindsey Zehr Internship Title: Idiopathic Pulmonary Fibrosis (IPF): A comprehensive evaluation of disease pathophysiology, biomedical research, and clinical observation Internship Mentor: R. [albany.edu]
Pathophysiology [ edit ] In disorders that are intrinsic to the lung parenchyma, the underlying process is usually pulmonary fibrosis (scarring of the lung). [5] As the disease progresses, the normal lung tissue is gradually replaced by scar tissue interspersed [en.wikipedia.org]
Pathophysiology The pathophysiologyThe pathophysiology is more complexis more complex than adult diseasethan adult disease because the injurybecause the injury occurs during theoccurs during the process of lungprocess of lung growth andgrowth and differentiation.differentiation [slideshare.net]
Pathophysiology Environmental factors and genetic causes play a leading role in the development of intertrigo. One of these factors is the friction caused by adjacent skin surfaces causing inflammation of the epidermis. [ncbi.nlm.nih.gov]
Stroke: Pathophysiology, Diagnosis, and Management 5th ed. Philadelphia: Elsevier Inc 2011; 750-752. Greenberg J., Skubick D., Shenkin H. Acute hydrocephalus in cerebellar infarct and hemorrhage. Neurology 1979; 29: 409-413. Klugkist H., McCarthy J. [mediasphera.ru]
Prevention
You may need to check into the hospital to get some rest, have more tests, and prevent complications. Blood thinners (antiplatelet drugs) are used to treat and prevent unstable angina. [medlineplus.gov]
Additionally, preventative measures to reduce skin-on-skin friction and moisture can help in the management of current intertrigo and prevent future episodes. [emedicine.medscape.com]
Prevention Prevention is key. Once intertrigo sets in, it can be difficult to cure unless the root causes (such as obesity) are addressed. [verywellhealth.com]
0% Emergent - ED Care Needed - Preventable/Avoidable - 0% Emergent - ED Care Needed - Not Preventable/Avoidable - 0% Primary diagnosis of injury 0% Primary diagnosis of mental health problems 0% Primary diagnosis of substance abuse 0% Primary diagnosis [medicbind.com]
Is it possible to prevent intertrigo? It's possible to prevent simple intertrigo by liberally applying a lubricating ointment like petrolatum directly into the intertriginous skin fold predisposed to irritation prior to any physical activity. [rxlist.com]