Usual interstitial pneumonia
Divya Manoj Badjate, Moli Jai Jain
Corresponding author: Moli Jai Jain, Department of Cardio-Respiratory Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences (DU), Wardha, Maharashtra, India
Received: 02 May 2022 - Accepted: 06 May 2022 - Published: 03 Jun 2022
Domain: Radiology,Intensive care medicine,Physical medicine and rehabilitation�or Physiatry
Keywords: Usual interstitial pneumonia, honeycombing pattern, tractional bronchiectasis, High-resolution computed tomography
©Divya Manoj Badjate et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Cite this article: Divya Manoj Badjate et al. Usual interstitial pneumonia. Pan African Medical Journal. 2022;42:92. [doi: 10.11604/pamj.2022.42.92.35264]
Available online at: https://www.panafrican-med-journal.com/content/article/42/92/full
Usual interstitial pneumonia
This clinical scenario includes a male, aged 83 years, a retired railway worker with complaints of breathlessness (modified Medical Research Council scale grade V), cough with expectorations (thick yellow-colored), and chest pain (sudden in onset, gradually progressive, and retrosternal in nature). He was a known case of hypertension for 15 years on medications, tuberculosis 10 years back for which he was managed with antitubercular treatment. He also suffered from a cerebrovascular event 4 years back and is currently on medications. On examination, the chest was a barrel-shaped and tracheal deviation to the right side. The movements of the chest wall were diminished bilaterally, more diminished on the left side along with the use of accessory muscles of the respiration with reduced chest expansion. On percussion, the dull note was present over lower intercostal spaces bilaterally. On auscultation, air entry on bilateral lung fields was reduced, with crepitations present on lower zones bilaterally. High-resolution computed tomography (HRCT) scan of the thorax was done which revealed - tractional bronchiectasis and multiple fibrotic changes in bilateral lung fields showing apicobasal gradient (A and C), with honeycombing pattern (D) and patchy areas of consolidation and thickening of the septa in bilateral lung fields (B). Findings are suggestive of the Usual Interstitial Pneumonia (UIP) pattern. He was advised medical management along with physiotherapy rehabilitation, which specifically included palliative care and supervised pulmonary rehabilitation.
Figure 1: HRCT scan of the thorax, (A and C) tractional bronchiectasis and multiple fibrotic changes in bilateral lung fields showing apicobasal gradient, with (D) honeycombing pattern and (B) patchy areas of consolidation and thickening of the septa in bilateral lung fields