Role of HRCT in evaluation of Interstitial Lung Disease

In this study, HRCT is the examination technique of choice as it is quickly accomplished, readily available and does not require ancillary studies using other imaging technologies in most cases. In this given study, A total of 40 patients were included in which 16 patients were found to be having ILDs , there were 10 male patients (62.5%) and 6 were female patients i.e., (37.5%) of total number of patients .Idiopathic pulmonary fibrosis were found in 3 (18.75%) patients, Usual interstitial pneumonia in 2 (12.5%) patients, Chronic Hypersensitive pneumonitis in 1 (6.25%) patient , Fibrotic hypersensitive pneumonitis in 4 (25%) patients and Pulmonary interstitial edema in 6 (37.5%). The maximum patients were found in pulmonary interstitial edema and minimum patients in Chronic Hypersensitive pneumonitis, the highest number of patients with interstitial lung disease were from the 60-80 Years age group category, which was 8 Out of 16 i.e. 50% of the total number of the patients and no patients were found from the age group 0-18 years age group and 80-100 years age group.

Clinical observation of interstitial lung injury caused by the use of humidifier

Humidifier lung syndrome is a rare phenotype of hypersensitive pneumonitis (HP) caused by inhalation of fumes from contaminated climate appliances such as a humidifier and air conditioner. Since the described syndrome is rarely found in the Russian Federation, the practitioner should be wary of this pathology, carefully collect an anamnesis from the patient, and also carry out differential diagnostics with lung lesions of autoimmune, drug, infectious genesis. HP therapy includes exclusion of contact with the etiological factor and the appointment of systemic hormonal therapy.

MODERN APPROACHES OF THE DIAGNOSIS AND PROGNOSIS OF OCCUPATIONAL CHRONIC HYPERSENSITIVE PNEUMONITIS

Modern diagnostics of chronic hypersensitive pneumonitis of occupational origin (CHP) requires a dynamic clinical examination, even in the long-term post-contact period, can occurs with the progression of pulmonary fibrosis. Pulmonary fibrosis contributes to the formation of pulmonary heart failure and worsening of the prognosis. Purpose: to evaluate the clinical picture and dynamics of the course of CHP to determine the prognosis. Methods: 54 patients with CHP various etiologies were examined. There were studied clinical, functional and instrumental indicators in dynamics for 3 years. Results: the analysis revealed a significant difference in clinical symptoms, the degree of restrictive violations of ventilation function, changes in gas exchange, HRCT-criteria, evaluation of respiratory tests, the presence of specific sensitization, etc., which determine a different individual prognosis of the disease. Conclusions: confirmation of the study of clinical and radiological criteria in dynamics in order to assess the prognosis for improving the complex of treatment and rehabilitation measures was obtained.

Some Peculiarities of Non-Specific Interstitial Pneumonia, Lung Sarcoidosis and Hypersensitive Pneumonitis Associated with the Ischemic Heart Disease

Introduction. Modern aspects of the diagnostics and treatment of interstitial lung diseases are closely connected with the comorbidity, which is based on the study of the associations between cardiovascular diseases and interstitial lung diseases. Material and Methods. The study included 65 patients with non-specific interstitial pneumonia, 78 patients with hypersensitive pneumonitis, and 68 patients with lung sarcoidosis. Results. An association between the character of morphological alterations in the lung tissue and clinical-functional disorders was established. More expressed fibrous and interstitial alterations corresponded to more intense respiratory symptoms and more severe disturbances of ventilation and diffuse parameters of the lungs. There was a tendency in the dilation of right and left compartments of the heart in the group of patients with interstitial lung diseases associated with cardiovascular diseases.

Burden of occupational lung disease

The article presents the basic concepts of the burden of occupational diseases, the modern concept of burden assessment is considered. The burden of occupational respiratory diseases (bronchial asthma, COPD, lung cancer, pneumoconiosis, hypersensitive pneumonitis) is analyzed. In connection with the significant socio-economic damage caused by occupational diseases of the respiratory system, attention is drawn to the need to improve the effectiveness of preventive measures in the field of respiratory health protection of employees of harmful (dangerous) industries.

Clinical observation of the course of new coronavirus infection in a patient with subacute form of hypersensitive pneumonitis

We present a case of difficult differential diagnostics of subacute form of hypersensitive pneumonitis in a patient with radiological symptom of "frosted glass" in the conditions of new coronavirus infection pandemic, and also the combined course of this disease and coronavirus in one patient.

Computed tomography in the differential diagnosis of interstitial lung diseases in occupational health

High-resolution computed tomography made it possible to assess changes in the lungs from the effects of industrial aerosols in the development of interstitial pulmonary diseases of professional and non-professional Genesis in 342 patients: pneumoconiosis, hypersensitive pneumonitis, allergic and fibrosing alveolitis, sarcoidosis, pulmonary tuberculosis. High-resolution computed tomography was an additional method in the diagnosis of various forms of lung diseases.

Difficulties in differential diagnosis of lingering dry cough in children: from typical to rare causes

This article deals with difficulties in differential diagnosis of lingering dry cough in children. The focus of the article is on the rare reason for lingering cough: hypersensitive pneumonitis. A brief review of the literature on this rare form of pathology is presented. The authors described two own clinical observations that demonstrate the difficulties in diagnosis, features of the course and management of patients with acute / subacute form of hypersensitive pneumonitis in prolonged observation.