Year : 2004 | Volume
: 21 | Issue : 4 | Page : 41--45
A follow up study on interstitial alveolitis
Former Professor of Respiratory Medicine., India
Objective : To study the benefits of steroid therapy in interstitial alveolitis.
Method and Materials : One hundred five adult clinic patients were studied with clinical evaluation, chest radiography, CT scan, bronchoscopic lavage, pulmonary function studies and a regular follow up. They were put on daily prednisolone (in 19 on intravenous methyl prednisolone), for several months.
Results: Only a few had no cough or dypnoea; 91 cases had atleast gr. III exertional breathlessness; 61(58%) had been given steroids earlier and 32(31%) were on a prior antitubercular treatment. Only 16% had GERD symptoms. On radiography, interstitial deposits were seen in 102 cases. While 53 cases belonged to idiopathic variety, 41 were sarcoidosis. A majority had poor lung function with a restrictive disability; but 50% showed a significant response (10%+) to bronchodilators. On follow up in 92 cases, 14 died, 8 went in remission; 32 had a fluctuating course. At some stage 66 had showed improvement.
Conclusion : A large majority of our interstitial alveolitis cases are very disabled. They show clinical, functional, and radiographic improvement to long term oral prednisolone. In nonresponsive cases, intravenous steroids show an objective response.
S R Kamat
B-2, Dattaguru Co.op. Housing Society Deonar, Mumbai 400 088.
|How to cite this article:|
Kamat S R. A follow up study on interstitial alveolitis.Lung India 2004;21:41-45
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Kamat S R. A follow up study on interstitial alveolitis. Lung India [serial online] 2004 [cited 2021 Mar 6 ];21:41-45
Available from: https://www.lungindia.com/article.asp?issn=0970-2113;year=2004;volume=21;issue=4;spage=41;epage=45;aulast=Kamat;type=0