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.


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

Treatment for this sir?

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