Case of the day

Idiopathic Pulmonary Fibrosis

ILD-Idiopathic pulmonary Fibrosis. Chief Complaints A 65 yr old female attended Mopd with non productive cough since 1 yr with occasional sputum. No associated fever, chest pain, SOB, palpitation, Hemoptysis etc. No past H/O Smoking, HTN, T2DM, Thyroid disorder, Substance Abuse, pulm Koch etc. Post Menopausal, no significant past history. General Examination is normal except pallor. No clubbing. Chest on auscultation B/L diffuse fine crepts which intensity doesn't changes with decubitus. Crepts was of velcro nature. CXR was done showing Reticulo-linear opacities. Next CT Thorax and PFT was advised. PFT showing low FEV1, low FVC, low PEF and normal FEV1/FVC ratio suggestive of Restrictive nature. CT Thorax showing honeycombing, tractional bronchiectasis and fibrotic changes suggestive of UIP pattern. Symptomatic treatment along with anti fibrotic has been started.

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Changes are of mid bronchiectasis and sub pleural basal honeycombing likely UIP. Continue antifibrotics. But may be less effective as Fibrosis is already developed.

? IPF .. NEED'S.. ANTIBIOTICS.. ANTIFIBRORICS .. SYMPTOMATIC T/T..WITH CLINICAL CORRELATION..

Pure case of ild Pft restrictive alveolar disease Hrct Opinion of chest specialist

Treatment for this sir?

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