Cellcept and interstitial lung disease
Common Questions and Answers about Cellcept and interstitial lung disease
cellcept
I am told I will need to go on a more aggressive form of therapy to try and preserve my lung function. Presently I am on Plaquenil. Cellcept or Immuran have been suggested. My question is how do they know when the time is right to initiate this treatment? How dangerous are these class of drugs? Will I have to be cautious in public? I also had breast cancer with a mastectomy for Stage I, high grade with necrosis, 7 months ago. Thank you.
) Pulmonary vascular diseases such as idiopathic pulmonary artery hypertension, pulmonary embolism, chronic thromboembolic pulmonary hypertension, and pulmonary vasculitis should be considered in a patient with a significant reduction in DlCO and normal spirometry and lung volumes. Early interstitial lung disease can cause mild to moderate reductions in DlCO before the development of abnormal spirometry and lung volumes.
Scarring, that can resemble interstitial fibrosis, can occur with chronic obstructive pulmonary disease (COPD), but COPD and interstitial pulmonary fibrosis (IPF) are 2 different diseases. Smoking causes COPD. The cause of IPF is unknown, and at this time, there is no proven effective treatment for it. Asbestos can also cause scarring, but unlike COPD and IPF, it frequently involves the membrane that encases the lungs, called the pleura.
I was recently dignosed with Respiratory Bronchiolitis Interstitial Lung disease and even after talking to the doctor I don't know what to expect from this disease. Also what are the sympthoms besided shortness of breath and chest pain? Because I currently have several other sympthoms such as joint pain, muscle pain, severe fatigue, headaches, ligthheadness, and over feeling of illness. Also, are there any treatments for this disease? My doctor said nothing works.
The test result information you provide, if valid, effectively rules out the common causes of such acute symptoms, such as classical pulmonary embolic disease and coronary artery disease with acute heart failure and raises the possibility of uncommon disorders.
One caveat is that in a circumstance such as this, tests that may ultimately provide a diagnosis (for example, heart catheterization, CT scanning of the lungs, echocardiograms) may be normal or marginally abnormal at the outset.
It would be purely speculative for me to suggest what type of interstitial lung disease (ILD) you might have and any such attempt would be further complicated by your history of smoking cigarettes and the clinical diagnosis of COPD. Suffice it to say, both your family history of lung disease (especially if it includes members who were not exposed to the “glass dust”) and the exposure of you and your immediate family to the “dust” might also be relevant to your lung disease.
This is a very tough decision to make. At times the interstitial lung disease is pretty advanced and stopping steroids may aggravate problems. However, steroids can then be given in pulse therapy wherein it can be given for some days and then stopped and restarted. Also, you could watch what you eat and exercise to help reduce your blood sugar levels. Please discuss this with your treating doctor. Take care!
I am concerned because I had a HRCT last week and the resluts state that there is no evidence of Interstitial lung disease and no ground glass opacity and no mention of COPD. I have a very severe non productive cough and shortness of breath I take 60mg of prednesone daily along with Advair and Arbuterol inhailers. I had a lung x-ray last week which showd that the bronchial tubes were all inflamed this is why I was sent for the CT scan. My concern is how can this new HRCT scan show all clear??
a)Does my father have pulmonary fibrosis and/or interstitial lung disease?
b)Do you see a progression of this condition when the CT-Scan of 09/09/2011 is compared with 04/11/2009?
c)Is this a chronic condition for my father? Is there any hope for alleviation of his symptoms or possibly any cure?
How life-threatening is his condition?
Thank you!
It causes parenchymal distortion. Usually seen in interstitial lung disease and fibrosis due to asbestosis, silicosis etc. Do discuss this with your doctor and get yourself examined. Take care!
All patients in this case series were hospitalized with various respiratory diagnoses, including pneumonitis, diffuse interstitial pneumopathy, and dyspnea/lung infiltration. Radiographic imaging indicated bilateral lung infiltrates in seven patients. In two cases, fluid from bronchoalveolar lavage (BAL) showed elevated eosinophils and neutrophils. In one patient, lung biopsy revealed an autoimmune interstitial alveolitis. A four-year-old female died after developing pneumonitis.
If diagnosed with interstitial lung disease, how do you know which disorder under ILD? There are so many. Thank you.
On O2 24 hours/day. First CT scan showed interstitial/aveolar disease and thickening, second CT scan 5 months later showed, none of those, but several small nodules, possible fibrosis and atelectasis, but no active lung disease, then 3 months later CT scan showed atelectasis, no nodules, no mention of aveolar or interstitial lung disease or fibrosis. In looking for answer to why hypoxic.....dr.
I don't know the specific illness you have but it's damage would fall under a class of disease called Interstitial Lung Disease, here's a link where you can read about it:
http://www.mayoclinic.
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