Hello everyone 🙂
So, while I was having my oral exams this year, I came across a question that many people were asked: “ILD”, so I looked it up to find that it includes a very wide range of diseases that I studied individually, but never had them collected, they’re quite interesting actually, especially the pneumoconiosis causes (that rhymes :D), let’s go:
ILD, or Interstitial Lung Diseases, is a term that refers to a group of diseases that affect the “interstitium” of lungs; alveoli, capillaries, the separating basement membrane and the perivascular/lymphatic tissues. Almost everything but the bronchial tree or the (Obstructive Lung Diseases).
They give a diffuse shadowing pattern, or a “miliary pattern” on chest x-ray.
The full classification is after the break.
1. Infections:
Virus
Influenza
Varicella
Smallpox
Measles
Q Fever
CMV
Psittacosis
Mycoplasma
Legionnaires’
Parasite
Pneumocystitis
Schistosoma
Microfilaria
Mycobacteria
Tuberculosis
Atypical
Bacterial
Gram-negative bacilli
Staphylococci
Fungal
Histoplasma
Coccidioides
Blastomyces (South American)
Candida
Cryptococcus
Aspergillus
2. Pneumoconiosis
Silicosis
Coal Miners’
Asbestosis
Beryllium
Talc
Graphite
Aluminium
Silo fillers’
3. Allergic Alveolitis: (Now that’s interesting!)
Farmers’ lung
Bird fancier lung
Maple bark
Air conditioning
Bagassosis
Sequoia tree
Pituitary snuff
Cheese washer
Mushroom worker
Malt worker
Coffee & tea growers
Woodworkers lung
Coptic lung (cloth wrappings of mummies, now that’s where the “curse” comes from :D)
4. Malignancy:
Alveolar cell carcinoma
Metastases (haematogenous et lymphatic)
Leukaemia
Hodgkin’s
5. Drugs
Methotrexate
Bleomycin
6. Cardiovascular diseases:
Mitral stenosis
Haemosiderosis
Goodpasture’s Syndrome
7. Fibrosing alveolitis:
Rheumatoid Arthritis
SLE
Systemic Sclerosis (Scleroderma)
Neurofibromatosis
Dermatomyositis
8. Autoimmune:
Sjogren’s Syndrome
Fibrosing alveolitis
9. Misc.:
Sarcoidosis
Histocytosis X (eosinophilic granuloma)
Alveolar proteinosis
Thesaurosis
Macroglobulinaemia
Almost everything in the world is in this list, huh? I found many classifications, but this was the only one that had it all, enjoy!
Very interesting, mixeva! ILD is important clinically, especially Pneumoconiosis which is showing increasing rates due to pollution. Bleomycin is also very related to ILD as you say. It’s a common topic in the USMLE.
[…] Staff Interstitial Lung Diseases (ILD)/ including Pneumoconioses […]
Interesting material here, Mixeva, but I ask that you make some changes if this is to be useful to anyone reading for the first time about causative agents for ILD.
Here they are: Psittacosis is caused by the bacterium Chlamydophila psittaci, Q fever is caused by the bacterium Coxiella burnetii, Legionellosis caused by the bacterium Legionella pneumophila. Mycoplasma are also bacteria. None of these, therefore, are viruses.
Keep up the good work.