Case Study

MBBS
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A 28-year-old male presents with progressive shortness of breath and fatigue over the past few weeks. He reports a persistent dry cough, low-grade fever, and weight loss. On examination, there are fine inspiratory crackles at the lung bases, and clubbing of fingers is noted. Chest X-ray shows bilateral reticulonodular opacities. HRCT reveals a “honeycombing” pattern with traction bronchiectasis. He has no history of smoking but mentions working in a pottery factory for the last 5 years.

What is your differential diagnosis, and how would you confirm the underlying cause? Could this be an occupational lung disease? How would you approach treatment?

1 Like
2

UIP Variant of ILD?

Confirmation by HRCT. PFT shows restrictive pattern

3

Diff Dx- Chronic silicosis/ Interstitial lung disease
Management- Stop exposure to the patient, supportive and rehabilitative care, check for TB, corticosteroids..

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Well, suggestive of occupational lung disease such as silicosis or asbestosis.
Could be managed by physical barrier usage, corticosteriods and rehabilitation.

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it might be :-

  1. Idiopathic pulmonary fibrosis

  2. Chronic hypersensitivity pneumonitis

  3. Silicosis

  4. Sarcoidosis

  5. Asbestosis

  6. Connective tissue disease-related interstitial lung disease