Medical SpecialtyOpen Access

The examination of pulmonary diseases of patients admitted in the department of pulmonary disease between 1st january 2018 and 1st january 2019, at Bolu Abant İzzet Baysal University, Faculty of Medicine

2020
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Advisor: Dr. Öğr. Üyesi Emine Özsarı

Abstract (EN)

Interstitial lung disease (ILD) covers many acute and chronic lung diseases. In our study, we aimed to evaluate the clinical, radiological and demographic features, including methods of diagnosis, and treatment of patients who were evaluated as interstitial lung disease between 1 January 2018 and 1 January 2019. A totally of 92 patients included in our study were diagnosed with ILD and admitted at the Department of Lung Diseases, Abant İzzet Baysal University, Faculty of Medicine. 23 (25%) of our patients were female and 69 (75%) were male, and the mean age was 62.23 ± 11.78 (32-88). The most common complaints were dyspnea (77.6%) and cough (64.7%). When the physical examination findings were examined, thin ral (61%) and clubbing (23%) were the most common. As a result of evaluation of the patients are: Idiopathic pulmonary fibrosis (25%) in 23 patients, nonspecific interstitial pneumonia in 14 patients (15.2%), pneumoconiosis in 14 patients (15.2%), sarcoidosis in 10 patients (10.8%), 7 patients hypersensitivity pneumonia (7.6%), drug-bound lung in 6 patients diseases (6.5%), 6 patients interstitial lung disease due to collagen tissue disease (6.5%), 5 patients langerhans cell histiocytosis (5.4%), 4 patients respiratory lung disease (4.3%), 2 patients lymphocytic interstitial pneumonia (2.1%), One patient was diagnosed with cryptogenic organized pneumonia (1.0%). When the respiratory function tests were examined, the average FEV1 value was 77.38 ± 19.54%, the FVC value was 83.76 ± 20.07, and the FEV1 / FVC ratio was 74.45 ± 11.09. DLCO mean value was found as 56.56 ± 21.63. When the diagnostic methods are evaluated; 72 patients were diagnosed by clinical and radiological methods (78.3%), 10 patients by videothoracoscopy (VATS) (10.9%), 7 patients by mediastinoscopy (MX) (7.6%), and 3 patients by bronchoscopic diagnostic methods (3.3%). Considering the treatment methods applied to patients, 29.3% steroid treatment, 18.5% antifibrotic treatment, 35.9% were followed up without any medication; the rest were treated symptomatically with inhaler. Finally, from our study, ILD constitutes approximately 15% of patients admitted at lung diseases outpatient clinic and should be considered in the differential diagnosis. In our study, IPF, sarcoidosis, pneumoconiosis were seen most frequently, as in the literature. Although there are difficulties in diagnosis, it is easier to diagnose with the increase of radiological techniques and biopsy methods.

Author

Dr. Elif Açar

How to Cite

Elif Açar (Medical Specialty Thesis). The examination of pulmonary diseases of patients admitted in the department of pulmonary disease between 1st january 2018 and 1st january 2019, at Bolu Abant İzzet Baysal University, Faculty of Medicine, 2020, Bolu Abant Izzet Baysal University.

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