Analytical study of clinical radiological and spirometric evaluation of patients with interstitial lung disease in a tertiary care hospital

Dr. K. Kanishka; Dr G. Sundar Raj

Volume : IX, Issue : VI, June - 2019

Analytical study of clinical radiological and spirometric evaluation of patients with interstitial lung disease in a tertiary care hospital

Dr. K. Kanishka, Dr G. Sundar Raj

Abstract :

Background: Interstitial Lung Diseases refers to a heterogeneous collection of more than one hundred distinct lung disorders that tend to be grouped together because they share clinical, radiographic, histologic and pathologic features. This study attempts to clinical ,radiological and spirometrical evaluation of patients with interstitial lung disease. Methods: 35 patients of ILD admitted to Alluri sitaramaraju academy of medical sciences, Eluru between December 2015 –December 2017. who met inclusion criteria randomly selected. Detailed history and physical examination findings recorded. Investigations like chest x–ray, spirometry, HRCT chest were done. Results: The overall mean age at presentation for ILD is 40 to 60 yrs with male preponderance. Majority of the patients were non–smokers 62.85% and smoking population is 37.14%. 54.5% males were non smokers whereas 76.9% females were non smokers. 62.85% of patients in the present study had Restrictive patterns of spirometry. A mixed pattern was observed in 31.42% of the patients. Only 5.71% cases had a normal spirometry. In the study population Fiosis was the most common finding (62.85%) and Diffuse cystic pattern was least common2.85%.Interstitial infiltrates, onchiectasis and lymphadenopathy (hilar/mediastinal) have equal distribution with 17.14% each. Ground glass appearance was present in 31.42 %..Honeycombing and nodular pattern seen in 5 cases each while bilateral patchy peripheral consolidation was present in 2 cases Conclusion: Early detection and initiation of proper treatment is the corner stone for a better prognosis Thirty five patients diagnosed as ILD based on clinical, radiological and spirometry findings attending OPD and/or admitted in a tertiary health care centre were included. It is prospective observational study where statistical analysis was done which proved male preponderence in ILDs and an IPF predominance The study reinforced the point that ILDs are still an under diagnosed entity and constant vigilance must be employed especially in older male populations presenting with chronic shortness of eath and progressive cough