Idiopathic interstitial pneumonia history and symptoms
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The most important point to be remembered in history of IIP patiets is the age, sex and race. The age at which the patient presents first can provide a clue to the cause of IIP. Below are a few examples .
- IPF occurs almost only in adult age group beyong 50 yrs.
- Sarcoidosis is more common in young and middle-aged adults than elderly. Also its more comon in African-American females.
- Pulmonary histiocytosis X occurs typically in cigarette smokers who are young.
- Respiratory bronchiolitis (RB-ILD) is more common in heavy cigarette smokers . There is no specific age group that it affects.
- Lymphangioleiomyomatosis (LAM) affects pre-menopausal women .
The initial symptoms of Idiopathic interstitial pneumonia are:
- Dyspnea which has a gradual onset > 6 months
- Nonproductive cough refractory to antitussive agents
- Low grade fever
However, sometimes a few symptoms due to the co-existing pathology are seen. Hence the following symptoms suggesting a connective tissue disorder should be carefully investigated.
- Joint pains or swelling
- Musculoskeletal pain
- Raynaud's phenomenon
- Dry eyes
- Dry mouth
A lot of Idiopathic interstitial pneumonia cases have co-existing emphysema symptoms.
- Symptoms of emphysema
- Symptoms of pulmonary hypertension