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Resp History
 
 

The ILD History

 
 
 
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Overview

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  • Diagnosis - when ILD was diagnosed, cause
  • Pace of progression
  • Exacerbations
  • Management - lifestyle, pharmacologic, supportive, surgical measures
  • Complications
  • Causes of Interstitial Lung Disease

  • ILD of Known Association

  • Connective tissue disease - rheumatoid arthritis, scleroderma, systemic lupus erythematosus, Sjogren’s syndrome, polymyositis / dermatomyositis
  • Medications - methotrexate, nitrofurantoin, bleomycin
  • Occupational exposure - silicosis, asbestosis
  • Granulomatous ILD

  • Sarcoidosis
  • Hypersensitivity pneumonitis
  • Idiopathic Interstitial Pneumonias

  • Idiopathic pulmonary fibrosis
  • Others - idiopathic non-specific interstitial pneumonia, acute interstitial pneumonia, cryptogenic organising pneumonia, lymphocytic interstitial pneumonia, desquamative interstitial pneumonia

Complications

  • Complications of Interstitial Lung Disease

  • Acute exacerbation of ILD
  • Cor pulmonale
  • Pulmonary hypertension
  • Lung cancer

Management

  • Management Strategies

  • Lifestyle

  • Avoid exposure to irritants
  • Pulmonary rehabilitation
  • Pharmacologic

  • Idiopathic pulmonary fibrosis - pintedanib, pirfenidone
  • Connective tissue disease-related ILD - immunosuppression
  • Supportive Measures

  • Home oxygen
  • Vaccinations - influenza, pneumococcus
  • Surgical Options

  • Lung transplant
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