Demogrphic, Clinico-Radiological and Etiological Profile of Diffuse Parenchymal Lung Disease in Hilly Area of Western India.
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 12
Abstract
Abstract Introduction: The interstitial lung diseases are a clinically challenging and diverse group of over 150 disorders characterized by varying degrees of fibrosis and inflammation of the lung interstitium. Interstitial lung disease broadly classified into 4 groups. Group I consist of disorders of known causes, group II include idiopathic interstitial pneumonias (IIPs) which further divided in major and minor IIP, Group III include granulomatous lung disorders and group IV included rare interstitial lung disease. A detail history is the key to diagnose Interstitial lung disease. Common presenting pulmonary symptoms are progressive cough (mainly dry), persistent progressive shortness of breath or dyspnoea. Materials and Methods: Our study is tertiary care hospital based prospective study. Study period was from July 2015 to June 2016. All patients were taken randomly who attended the department of respiratory medicine. 50 confirmed cases of interstitial lung diseases were evaluated for study. Result: In our study, Majority (82%) of the patients belonged to 21-60 years of age group. The mean age of study population was found to be 46.1 years. Male to female ratio was 3.5:1. 56% (23 male, 5 female) of the study population were belonged to stone mine and related works (drilling & construction) followed by household works (16%), farmers (14%). In our study dyspnoea (90%) & cough (80%) were the commonest symptom. Majority of the patients 33/50 (66%) had duration of illness more than 1 years. In our study, 26 (52%) cases had diffuse involvement on chest skiagram followed by 26% cases had predominantly lower zone involvement. Among all, 44% cases had nodular infilterates, 26% cases with reticular or reticulo-nodular pattern with 22% cases showed progressive massive fibrosis. final diagnosis were made as silicosis 25 patient, miliary tuberculosis 9, interstitial parenchymal fibrosis 6, systemic sclerosis 5, asbestosis 3 and hypersensitivity pneumonitis 2 patients respectively. Conclusion: Interstitial lung disease is a group of diverse disorder of lung parenchyma. Demography of area and occupation are major risk factor for various type of ILD.
Authors and Affiliations
Dr Mahesh K Mishra
Keywords
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