 |
NetWellness is a global, community service providing quality, unbiased health information from our partner university faculty. NetWellness is commercial-free and does not accept advertising.
Saturday, May 25, 2013
|
|
|
NetWellness is a global, community service providing quality, unbiased health information from our partner university faculty. NetWellness is commercial-free and does not accept advertising.
Saturday, May 25, 2013
|
| Home | HealthTopics | Health Centers | Reference Library | Research |
 Join us on Facebook
|
Share on Facebook | Tweet |
|
Pulmonary Fibrosis |
Interstitial prominence on chest film05/11/2007 |
I have a myopathy with proximal and resp. muscle weakness verified by emg/muscle bx and pft`s. I have a restrictive impairment on pft`s also with a decreased dlco (67%). On my chest film , it showed interstitial prominence and scattered granulomas. I had a HRCT that showed small amt of bibasilar interstitial changes . What does the interstitial prominence and granulomas mean? I have air hunger and dyspnea- worse with exertion. On a 6MW test, I did not desturate but did become tacycardic.On a stress echo, I did desaturate briefly but was very dyspneic which took a while to return to baseline. It showed poor exercise tolerance. I follow with my pulmonolgist q 6 mos with spirometry and dlco. Thanks for your help. Is there any other testing you recommend?
Many forms of myopathy can cause interstitial lung disease. A common type of myopathy that does this is called polymyositis. Interstitial lung disease associated with polymyositis can result in shortness of breath and a low blood oxygen level.
Fortunately, these types of interstitial lung disease can often be treated with medications such as:
- prednisone
- azathioprine
- cyclophosphamide
- or cyclosporin-A.
Sometimes additional tests such as bronchoscopy or lung biopsy are required in order to exclude other conditions that can cause interstitial changes on the x-ray (such as infection).
Another cause of shortness of breath (dyspnea) and a low diffusing capacity in polymyositis is pulmonary hypertension. Often, signs of pulmonary hypertension can be found on a cardiac echo. Pulmonary hypertension is treated with different drugs than interstitial lung disease.
Granulomas are benign scars on the lung, often due to previous infections by yeasts such as histoplasmosis.
|
James N Allen, Jr, MD Clinical Professor of Pulmonary, Allergy, Critical Care & Sleep Medicine College of Medicine The Ohio State University |
|
|
Please note: only your personal physician or other health professional you consult can best advise you on matters of your health based on your medical history, your family medical history, your medication history, and how information from any of these databases may apply to you. Neither University of Cincinnati (NetWellness) nor any party involved in creating, producing or delivering this web site shall be liable for any damages arising out of access to or use of this web site, or any errors or omissions in the content thereof. (More) 
|