What should be included in the long-term monitoring of diffuse parenchymal lung diseases (DPLDs)?

Updated: Sep 15, 2020
  • Author: Eleanor M Summerhill, MD, FACP, FCCP; Chief Editor: Zab Mosenifar, MD, FACP, FCCP  more...
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Answer

See patients with diffuse interstitial lung disease every 3-6 months. Order pulmonary function testing every 3-6 months to assess disease progression and response to therapy. High-resolution CT scanning is becoming an increasingly important tool in making the initial diagnosis and subsequent assessments of disease progression and/or responses to therapy.

Patients with interstitial lung disease generally are treated in an outpatient setting. With advancing disease, progressive respiratory failure, pneumonia, pulmonary embolism, and cor pulmonale may all occur and require hospital admission. Bronchogenic cancer occurs with increased frequency. [23]

The prognosis is variable and depends on the specific diagnosis and clinical, physiologic, and pathologic severity.


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