INTERSTITIAL LUNG DISEASE- CLINICAL FEATURES AND DIFFERENTIAL DIAGNOSIS AT TERTIARY CARE CENTRE UJJAIN

Nipun Agrawal*, Lokendra Dave, Arti Julka and Parag Sharma

ABSTRACT

Introduction: Out of more than 200 distinct entities of ILDs, a limited number of disorders, including idiopathic pulmonary fibrosis, sarcoidosis, and connective tissue disease-related ILDs, account for majority of ILDs. The present study was undertaken at a tertiary care centre to assess the pattern in spirometry and differential diagnosis of ILD. Methodology: This cross sectional study was done at a tertiary care centre, Ujjain over a period of one year on 25 cases of ILD diagnosed by HRCT. A detailed history along with occupational history was obtained from all the patients. All patients were examined clinically and underwent relevant investigations to reach a diagnosis. This was followed by assessment of pulmonary functions by spirometry. Findings thus obtained were recorded in questionnaire. Data was compiled using Ms Excel and analysed using SPSS Version 20. Results: The study was conducted on 25 diagnosed cases of Interstitial lung disease based on HRCT. Mean age of all patients were 53.68 year. Most common compliant was shortness of breath was present in all 100% patients whereas a cough was present in 24 (94%) cases. Most of the subjects had restriction PFT Pattern i.e 10(40%). IPF was seen in most of the subjects i.e 18(72.0%). Conclusion: Interstitial lung diseases are observed in India. They present with non specific symptoms such as dyspnea and cough thus they require careful history taking and relevant investigations to reach to a definitive diagnosis. The most common diagnosis was IPF and maximum cases may be misdiagnosed as TB.

Keywords: Spirometry, IPF, ILD, clinical features.