Interstitial Lung Disease, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
By Kenneth Kee
()
About this ebook
This book describes Interstitial Lung Disease, Diagnosis and Treatment and Related Diseases
Interstitial lung disease (ILD) is a collection of lung disorders in which the lung tissues become inflamed and then injured.
All interstitial lung diseases involve the interstitium, a part of the lungs' anatomical structure.
The interstitium is a lace-like system of tissue that extends throughout both lungs that gives support to the lungs' microscopic air sacs (alveoli).
Normally, the interstitium is so thin it cannot be observed on chest X-rays or CT scans.
Types of Interstitial Lung Disease
All types of interstitial lung disease induce thickening of the interstitium.
The thickening can be because of inflammation, scarring or extra fluid (edema).
Some types of interstitial lung disease are short-lived; others are chronic and irreversible
1. Interstitial pneumonia: Bacteria, viruses, or fungi may cause infection of the interstitium
2. Idiopathic pulmonary fibrosis (IPF): a chronic, progressive form of scarring of the interstitium.
Its cause is not known, which is why it is called idiopathic.
3. Nonspecific interstitial pneumonitis: caused by autoimmune disorders (such as rheumatoid arthritis or scleroderma).
4. Hypersensitivity pneumonitis (HP): caused by continual inhalation of dust, mold or other irritants.
5. Cryptogenic organizing pneumonia (COP): a pneumonia-like interstitial lung disease but without an infection present.
6. Acute interstitial pneumonitis: a sudden, severe interstitial lung disease, often needing life support.
7. Desquamative interstitial pneumonitis: an interstitial lung disease that is partially caused by smoking.
8. Sarcoidosis: a disorder causing interstitial lung disease along with swollen lymph nodes, and occasionally heart, skin, nerve, or eye involvement.
9. Asbestosis: an interstitial lung disease produced by asbestos exposure.
Symptoms
Shortness of breath is a major symptom of ILD
Other symptoms are:
1. Cough, which is normally dry and nonproductive
2. Weight loss, most often in patients with COP
3. In most types of interstitial lung disease, the shortness of breath forms slowly
In interstitial pneumonias or acute interstitial pneumonitis, symptoms happen more rapidly (in hours or days).
4. Overtime, weight loss, fatigue, and muscle and joint pain
People with more advanced ILD may have:
1. Abnormal enlargement of the base of the fingernails (clubbing)
2. Blue color of the lips, skin, or fingernails because of low blood oxygen levels (cyanosis)
3. Symptoms of the diseases such as arthritis or trouble swallowing
Diagnosis
A simple chest X-ray is the first test in the appraisal of most people with a breathing problem
High-resolution CT scan can provide the best images of the chest
Lung biopsy confirms diagnosis
Treatment
The treatment is dependent on the cause and duration of the disease.
1. Antibiotics
These are effectual treatments for most interstitial pneumonias
a. Azithromycin and levofloxacin remove the bacteria that produce most interstitial pneumonias.
b. Viral pneumonias normally recover by themselves.
c. Fungal pneumonias with antifungals
2. Corticosteroids like prednisone decrease the action of the immune system
3. Azathioprine, Pirfenidone and N-acetylcysteine can slow down the disease by suppressing the immune system
4. Regular usage of oxygen might also defend the heart from injury
5. Lung transplant: In advanced interstitial lung disease producing severe impairment, a lung transplant may be the best choice.
6. Lung rehabilitation can give support, and help the patient learn new breathing methods.
7.Quit smoking
8. Oxygen therapy should be given as home therapy
TABLE OF CONTENT
Introduction
Chapter 1 Interstitial Lung Disease
Chapter 2 Causes
Chapter 3 Symptoms
Chapter 4 D
Kenneth Kee
Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"
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Interstitial Lung Disease, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee
Interstitial Lung Disease,
A
Simple
Guide
To
The Condition,
Diagnosis,
Treatment
And
Related Conditions
By
Dr Kenneth Kee
M.B.,B.S. (Singapore)
Ph.D (Healthcare Administration)
Copyright Kenneth Kee 2019 Smashwords Edition
Published by Kenneth Kee at Smashwords.com
Dedication
This book is dedicated
To my wife Dorothy
And my children
Carolyn, Grace
And Kelvin
This book describes Interstitial Lung Disease, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.
(What You Need to Treat Interstitial Lung Disease)
This e-Book is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.
If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.
Thank you for respecting the hard work of this author.
Introduction
I have been writing medical articles for my blog: http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.
My purpose in writing these simple guides was for the health education of my patients.
Health Education was also my dissertation for my Ph.D (Healthcare Administration).
I then wrote an autobiographical account of his journey as a medical student to family doctor on his other blog: http://afamilydoctorstale.blogspot.com.
This autobiographical account A Family Doctor’s Tale
was combined with my early A Simple Guide to Medical Disorders
into a new Wordpress Blog A Family Doctor’s Tale
on http://kenkee481.wordpress.com.
From which many free articles from the blog was taken and put together into 800 eBooks.
Some people have complained that the simple guides are too simple.
For their information they are made simple in order to educate the patients.
The later books go into more details of medical disorders.
The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.
Since 2013, I have tried to improve my spelling and writing.
As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.
Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.
I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.
I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.
I apologize if these repetitions are irritating to some readers.
Chapter 1
Interstitial lung disease
What is Interstitial lung disease?
Interstitial lung disease (ILD) is a collection of lung disorders in which the lung tissues become inflamed and then injured.
It involves many different lung disorders.
All interstitial lung diseases involve the interstitium, a part of the lungs' anatomical structure.
The interstitium is a lace-like system of tissue that extends throughout both lungs.
The interstitium gives support to the lungs' microscopic air sacs (alveoli).
Tiny blood vessels move through the interstitium, permitting gas exchange between blood and the air in the lungs.
Normally, the interstitium is so thin it cannot be observed on chest X-rays or CT scans.
Types of Interstitial Lung Disease
All types of interstitial lung disease induce thickening of the interstitium.
The thickening can be because of inflammation, scarring or extra fluid (edema).
Some types of interstitial lung disease are short-lived; others are chronic and irreversible
Some types of interstitial lung disease are:
1. Interstitial pneumonia:
Bacteria, viruses, or fungi may cause infection of the interstitium of the lung.
A bacterium called Mycoplas a pneumonia is the most frequent cause.
2. Idiopathic pulmonary fibrosis:
This is a chronic,