The disease develops gradually, increasing shortness of breath, non-productive cough, wheezing when inhaling, reminiscent of the crackling of cellophane. The progression of the disease lasts from 3 months to 3 years, after which death occurs from respiratory failure. Lung cancer occurs more often than usual in these patients.
One of the signs of idiopathic pulmonary fibrosis is a change in the terminal phalanges of the fingers - they take on the appearance of drumsticks. Treatment does not offer much prospects for recovery. Therapy is aimed at maintaining respiratory function. Oxygen therapy is recommended. Some countries use the drug Pirfenidone - it inhibits the development of fibrous tissue. Lung transplantation is performed provided there are no other changes in the body. There are age restrictions - no older than 65 years.
This form is more common in women and girls. It is assumed that the cause of its occurrence is an autoimmune process or the body’s reaction to the introduction of a virus. Often such patients are diagnosed with the Epstein-Bar virus, and there is also a connection with HIV infection. With lymphoid interstitial pneumonia, primary damage to the interalveolar septa and alveoli occurs due to infiltration by lymphocytes and plasma cells.
The average age of the sick is 54of the year. The main complaints are cough and shortness of breath, gradually increasing over several months or years. On auscultation, moist rales are heard. Such patients often have concomitant systemic diseases. systemic lupus erythematosus, rheumatoid arthritis, Hoshimoto's thyroiditis.
X-ray changes are nonspecific, as are the CT findings. A lung biopsy more accurately confirms the diagnosis. Blood tests in almost all patients reveal low rises in temperature, gammopathy and a decrease in gamma globulins. Lymphoid interstitial pneumonia is treated with glucocorticoids, either alone or in combination with cytotoxic drugs. The prognosis is very variable - spontaneous recovery may occur, fibrosis may develop with increasing respiratory failure. Lymphoid interstitial pneumonia gives a chance of five-year survival to buy prometrium online more than half of those affected.
A feature of this nonspecific pneumonia is the high incidence of incidence in young women without any connection with smoking. Average age is 40–45 years. Nonspecific interstitial pneumonia is similar in clinical course to idiopathic pulmonary fibrosis. The main complaints are cough and chronic, increasing shortness of breath. Low rises in temperature and malaise may be observed.
Reticular shadows in the lower lobes on a radiograph are of little help in making a diagnosis. Therefore, confirmation requires HRCT and mandatory surgical biopsy of lung tissue. Histologists usually observe a picture of inflammation and fibrosis in this form - it can be focal in nature, combined with areas of unchanged lung tissue.
The main complaints patients make are cough and shortness of breath, although the severity of symptoms is much less. Moist rales are heard over the lung fields. X-rays reveal mesh or nodular darkening of various shapes, including ring-shaped, thickened bronchial walls, and hyperplasia of progesterone pills. During a functional study, signs of two processes are observed - obstruction and restriction of the bronchi.