Clinical Profile of Interstitial Lung Disease at a Tertiary Care Centre in India

Kumar, Rahul; Kumar, Subhash; Kumar, Deependra; Kumar, Aditya; Thakur, Seema

doi:10.5005/ijcdas-63-1-23

Cited by 1 publication

(3 citation statements)

References 17 publications

(26 reference statements)

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“…The ratio of men to women was 1.17:1. Our analysis confirms the male preponderance of ILD, which is consistent with the majority of another research, including those by Mahasur et al, Gagiya et al, and Yadav et al [14][15][16] Few research, such as those by Kumar et al, Jindal et al, and Subhash et al, reveal a female preponderance in comparison to our study. [17][18][19]…”

Section: Gender Distribution Of the Patientssupporting

confidence: 93%

“…Yadav et al also described the similar chest X-ray findings in their study. 16 Conventional thoracic radiographs of patients with pulmonary fibrosis typically reveal widespread or localized, reticular or nodular opacities that are particularly prominent in the basal regions. Nevertheless, there isn't any clear link between the degree of fibrosis, the intensity of the illness, and radiographic results.…”

Section: Chest X-ray Findingsmentioning

confidence: 99%

“…In their research, Yadav et al also discussed the related HRCT thorax results. 16 The HRCT of the thorax has evolved into a crucial component of the assessment of patients with ILD because of the shortcomings of the thoracic radiograph. To distinguish IPF patients from those with other ILDs is the main goal of HRCT.…”

Section: Hrct Findingsmentioning

confidence: 99%

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Spirometry assessment of interstitial lung disease patients and correlation with its clinical and radiological profile

Balas

Jotkar

2022

Int J Res Med Sci

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Background: Interstitial lung diseases (ILD) are a diverse set of lower respiratory tract illnesses that are defined by both abrupt and persistent inflammation as well as a largely irreversible and continuous progression of fibrosis in the interstitium and the walls of the alveoli. This study focuses on non-invasive techniques for clinically and radiographically confirmed situations. Since most patients refuse surgical or transbronchial lung biopsies and are in respiratory difficulty, an alternate method is preferable. Spirometry tests are often used as diagnostic aids. This study compares spirometry in ILD patients with their radiological and clinical features.Methods: In this prospective observational study, 50 ILD patients who were diagnosed on the clinical and radiological grounds included. A detailed history of illness was obtained and noted. All patients were examined clinically and underwent basic investigations. All patients were performed 6 MWT O2 saturation and spirometry. Correlation between spirometry findings and clinical and radiological profile was done.Results: The study group of 50 patients with ILD, idiopathic pulmonary fibrosis was the most common cause of ILD consists of 32 patients performing 64% of the study group. Average duration of symptoms in ILD patients in this study was 5.46±5.49 months. The mean age of the patients was 61.58±12.92 years ranging from 27 to 88 years with 27 (54%) male and 23 (46%) female. Cough and dyspnoea were the most common features at presentation in our study group, present in almost all the patients. Crepitations were present in 41 (82%) patients. Most common chest X-ray feature was reticular opacities which was present in 24 (48%) patients. Ground glass opacity in high-resolution computed tomography (HRCT) was seen in 33 (66%) patients. Most common spirometry pattern seen in our study was Restrictive pattern which was present in 42 patients. In ILD patients, mean values of FEV1% was 59.2±20.33, FVC% was 60.76±25.45, FEV1/FVC was 100.86±20.12.Conclusions: Idiopathic pulmonary fibrosis is the most common and chronic hypersensitivity pneumonitis along with cryptogenic organizing pneumonia are the second common ILD in our study. The underdiagnosis of interstitial lung disease is due to a lack of knowledge among doctors. Therefore, spirometry and 6MWT O2 saturation should be performed in all patients presented with complaints of chronic cough and breathlessness as screening tool and then HRCT chest and biopsy can be done for confirmation of diagnosis. So early diagnosis and treatment of ILD patients is possible with use of spirometry.

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Section: Gender Distribution Of the Patientssupporting

confidence: 93%

Section: Chest X-ray Findingsmentioning

confidence: 99%