Hamman-Rich syndrome: Difference between revisions

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== Treatment ==
== Treatment ==
Treatment of HR syndrome is primarily supportive. Management in an [[intensive care unit]] is required and the need for [[mechanical ventilation]] is common. Therapy with [[corticosteroids]] is generally attempted, though their usefulness has not been established as of 2005.
Treatment of HR syndrome is primarily supportive. Management in an [[intensive care unit]] is required and the need for [[mechanical ventilation]] is common. Therapy with [[corticosteroids]] is generally attempted, though their usefulness has not been established as of 2005.
== Prognosis ==
Sixty percent of people with HR syndrome will die in the first six months of illness. However, most people who have one episode do not have a second. People who survive often recover lung function completely.


{{Respiratory pathology}}
{{Respiratory pathology}}

Revision as of 19:12, 24 September 2012

Template:DiseaseDisorder infobox Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Hamman-Rich syndrome Microchapters

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Synonyms and keywords: Acute interstitial pneumonia; HR syndrome

Overview

Symptoms

The most common symptoms of Hamman-Rich syndrome are cough, fever, and difficulties breathing. These often occur over a period of one to two weeks before medical attention is sought. Difficulties breathing can quickly progress to an inability to breathe without support (respiratory failure).

Hamman-Rich syndrome typically progresses rapidly, with hospitalization and mechanical ventilation often required only days to weeks after initial symptoms of cough, fever, and difficulties breathing develop.

Diagnosis

Rapid progression from initial symptoms to respiratory failure is a key feature of Hamman-Rich syndrome. An x-ray which shows ARDS is necessary for diagnosis (fluid in the small air sacs (alveoli) in both lungs). In addition, a biopsy of the lung which shows organizing diffuse alveolar damage is required for diagnosis. Other diagnostic tests are useful excluding other similar condition, but history, x-ray, and biopsy are necessary. These other tests may include basic blood work, blood cultures, and bronchoalveolar lavage.

Treatment

Treatment of HR syndrome is primarily supportive. Management in an intensive care unit is required and the need for mechanical ventilation is common. Therapy with corticosteroids is generally attempted, though their usefulness has not been established as of 2005.

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de:Akute interstitielle Pneumonie


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