March 2025 Pulmonary Case of the Month: Interstitial Lung Disease of Uncertain Cause

By: Wesselius LJ

Abstract:

No abstract available. Manuscript truncated after 150 words. 

History of Present Illness

A 58-year-old man complained of gradually increasing shortness of breath. He denied any cough. An outside chest x-ray is reported as showing mild bilateral interstitial changes.

Past Medical History, Social History, and Family History

• He has a history of rheumatoid arthritis and has complaints of mild joint stiffness and soreness. He has taken mycophenolate for several years which has made no difference in his symptoms.
• He has never smoked and denies any occupational exposure.
• There is no family history of lung disease.

Physical Examination

• Vital Signs: SpO2 95% on room air but declined to 88% with ambulation.
• Chest: A few scattered inspiratory crackles noted.
• Cardiovascular: Regular rhythm without murmur.
• Extremities: No clubbing or edema. No evidence of synovitis or joint inflammation
• Skin: Slightly raised, pink, scaly lesions on elbows and knees.

Which of the following are indicated?

1. Dermatology consult
2. Pulmonary function testing
3. Connective ...

URL: https://www.swjpcc.com/pulmonary/2025/3/1/march-2025-pulmonary-case-of-the-month-interstitial-lung-dis.html