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Ten Diagnostic Signs of ILD, and More

Key features in the clinical examination of interstitial lung diseases and their management are the focus of a new clinical review. Highlights here.

Wallis A, Spinks K. Clinical Review: The diagnosis and management of interstitial lung diseases. BMJ 2015;350:h2072 doi: 10.1136/bmj.h2072 (7 May 2015)

Interstitial lung disease is an involvement of rheumatic disease, and an adverse effect of methotrexate, leflunamide, sulphasalazine, penicillamine, and anti-tumor necrosis factor agents.

This is a quick clinical review, emphasizing diagnosis.

Key features in the clinical examination are:

•    Bi-basal end inspiratory crepitations
•    Inspiratory squeaks
•    Finger clubbing
•    Pleural effusion
•    Pulmonary hypertension
•    Arthritis
•    Skin signs of scleroderma
•    Lymphadenopathy and hepatosplenomegaly
•    Neurological findings
•    Ocular signs