Summary
doi: 10.25005/2074-0581-2016-18-2-64-69
Features of currency and therapy of idiopathic fibrosing alveolitis in the Republic of Tajikistan
Chair of Internal Medicine №3 Avicenna TSMU
This paper analyzes the characteristics of the course and treatment of idiopathic fibrosingalveolitis (IFA) in the Republic of Tajikistan. The clinical picture of IFA characterized by severe currency andsignificant intoxication syndrome. The main clinical symptoms of IFA were: dyspnea, hemoptysis, dry cough, chest pain, fever, chills, sweating, headache, weight loss, general weakness. analyzingof auscultatory data in patients with IFA shown weakening of vesicular breathing in all patients, dry wheezing, local wet bubbly sounds (%) and crepitation wheezing (78,0%).
Radiological changes at IFA arenoted by areas of reduced transparency of the parenchyma by type «frosted-glass», bronchiectasis, pulmonary violation architectonic and thickening of interlobular septa like “honeycomb” with signs of pulmonary fibrosis. Combining IFA basic therapy with plasmapheresis in the moderate hypervolemicmode contributed to the excretion of toxic agents.
Timely diagnosis and basic IFA therapy leads to the prevention of severe complications and decreased mortality.
Keywords: idiopathic fibrosingalveolitis, «frosted glass» , «honeycomb lung» plasmapheresis, cytotoxic agents, prednisolone.
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