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Interstitial Lung Diseases
IAP Slide Seminar Series
Interstitial Lung Diseases is made up of eight cases to be presented at presented as a slide seminar at the 25th International Congress of the IAP, Brisbane, 2004.
Convenors: Belinda Clarke and William Travis
Series editor: Robin A. Cooke
CASE 1: A 20-year-old nonsmoking male presented with diffuse wheezing. He had a moderate obstructive defect. Bronchograms were negative for bronchiectasis. Chest x-ray showed patchy infiltrates in both lungs.
Thomas V. Colby
CASE 2: A 39-year-old Asian male from Tanzania who had lived in the UK since 1976 presented in 1996 with a new persistent cough which made no response to treatment for asthma. Chest x-ray and CT established a diagnosis of interstitial lung disease which was confirmed on video assisted thoracoscopic biopsy.
Susan Stewart
CASE 3: A 60-year-old Caucasian male underwent VAT biopsy of the right lower lobe in May 2000. He presented with a six month history of progressive dyspnoea which ultimately lead to death. At autopsy, both lungs showed fibrosis and honeycombing.
Belinda Clarke
CASE 4: A 50-year-old male presented with a 1-1.5 year history of chronic, mildly progressive dyspnea on exertion. Sometimes the patient did not use his TPN filters and observed crystalline material in his bag. A few years before his current presentation, he had been dissolving and injecting codeine tablets directly into his TPN line to increase the effects of codeine.
Andras Khoor
CASE 5: A 69-year old female, a non-smoker, had a 17-year treatment history of interstitial pneumonia beginning with mild fever and cough in 1987, and bilateral lower zone dominant pulmonary infiltrates (slowly progressive and so far idiopathic).
Masanori Kitaichi
CASE 6: A 72-year-old-male was admitted with cough, fever and progressive shortness of breath for more than one week. He had pulmonary tuberculosis when he was young and had been smoking one packet per day for a period of 20 years. Chest radiographs showed bilateral diffuse airspace opacity. He was treated under the suspicion of severe acute respiratory syndrome (SARS) and died one day after admission.
Teh-Ying Chou
CASE 7: A 32-year-old female presented with spontaneous pneumothorax, haemoptysis, cough, dyspnea, and a chest radiograph showing a diffuse reticular and cystic pattern with marked hyperinflation.
Siobhan Nicholson
CASE 8: A 43-year-old male with a history of myalgia and fever, documented once at 38.6C, saw his family physician and was diagnosed as a viral fever, possibly dengue. He became suddenly breathless seven days later and was taken to hospital. Chest xray on day 3 was normal. Chest xray on day 7 showed mottled confluent densities in both lungs.
Angela Chong
Authors: Belinda Clarke & William Travis
Media: Book, CD
Product code: SA11
ISBN: 1920824359