ILD is an umbrella term for a group of disorders involving progressive, typically irreversible, scarring of the lungs. Cases of ILD appear to be on the rise, and COVID has made diagnosing it more complicated. PulmTwitter
, in which small clumps of immune cells form in the lungs in an immune response sometimes following an environmental trigger, and can lead to lung scarring if it doesn't resolve.One study
"The patterns that are seen on CT scan for COVID pneumonia are very distinct from what we expect to see with idiopathic pulmonary fibrosis," Kulkarni said."Putting all this information together is what is important to differentiate it from COVID pneumonia, as well as other types of ILD." In an area in which diagnosis is delayed and the prognosis is dire – 3-5 years in untreated patients after diagnosis –"there's a tremendous amount of nihilism out there" among patients, he said.and are prescribed inhalers, but then further assessment isn't performed when those don't work.Many primary care physicians feel ill-equipped to discuss IPF.
Listening to the lungs alone might not be enough, he said. There might be no clear sign in the case of early pulmonary fibrosis, he said.
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