Open AccessInterstitial lung disease: search for the cause (a clinical case)
Author(s) -
Elena Vladimirova,
Evgeniy Shmelev,
И. Э. Степанян,
Анна Сергеевна Зайцева,
С. А. Дегтярева,
Л. Е. Дмитриева,
Г. В. Евгущенко,
Л. Н. Лепеха
Publication year - 2018
Publication title -
pulʹmonologiâ
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.126
H-Index - 6
eISSN - 2541-9617
pISSN - 0869-0189
DOI - 10.18093/0869-0189-2017-28-4-490-495
Subject(s) - medicine , interstitial lung disease , sarcoidosis , differential diagnosis , lung , tuberculosis , lung biopsy , pathology , diffuse alveolar damage , disease , biopsy , acute respiratory distress
Interstitial changes in the lungs could be caused by vast majority of diseases including tuberculosis, sarcoidosis, hypersensitive pneumonitis, metastatic injury of the lungs, etc. Differential diagnosis of pulmonary dissemination remains an urgent and challenging clinical task. This article is a review of published literature and presentation of a clinical case of a patient with interstitial lung disease. The case demonstrates diagnostic difficulties in identification the cause of interstitial lung injuries. Interstitial lung injury was incidentally found in this patient and initially was considered as disseminated pulmonary tuberculosis. In-depth diagnostic work-up including lung tissue biopsy allowed diagnosis of lymphoid interstitial pneumonia associated with common variable immune deficiency. This case demonstrates common misdiagnosis of pulmonary tuberculosis in a patient with interstitial lung injury.