November 1, 2020 Journal article Open Access

Calaras, Diana; Rusu, Doina; David, Aliona; Botnaru, Victor

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{
  "publisher": "Zenodo", 
  "DOI": "10.5281/zenodo.4018896", 
  "container_title": "Moldovan Medical Journal", 
  "language": "eng", 
  "title": "Functional features in interstitial lung diseases", 
  "issued": {
    "date-parts": [
      [
        2020, 
        11, 
        1
      ]
    ]
  }, 
  "abstract": "<p><strong>Background: </strong>Interstitial lung diseases (ILD) are a group of disorders that are generally thought to commonly share a restrictive ventilatory defect and reduced diffusing capacity for carbon monoxide (DLCO). The aim was to find distinctive features of the pulmonary function tests (PFT) results in different types of ILD.</p>\n\n<p><strong>Material and methods:</strong> We conducted a retrospective study of 40 consecutive patients with ILD admitted to the Institute of Pthisiopneumology, Chisinau, the Republic of Moldova, during January 2019 &ndash; February 2020. The cohort included 10 cases of sarcoidosis patients, 8 cases of idiopathic pulmonary fibrosis (IPF) patients, 7 patients with nonspecific idiopathic interstitial pneumonia, 9 cases with hypersensitivity pneumonitis (HP) and 6 histiocytosis cases. All patients have been evaluated by pulmonary function tests (PFT), 6 minutes walk test, Medical Research Council scale for dyspnea, etc.</p>\n\n<p><strong>Results: </strong>Overall, we found normal mean spirometry parameters, a slightly increased mean residual volume (127.5&plusmn;42.1), a mildly decreased mean total lung capacity (88.8&plusmn;22.3) and moderately reduced DLCO (52.6&plusmn;21.5). We found a dominant restrictive pattern in 75% of patients, and obstruction only in 7.5% when we used spirometry parameters. When we applied the bodyplethismographic values, we have found that an air-trapping pattern was identified in 32.5% cases of patients. This pattern has been identified in 1/3 of HP patients and in 10% of sarcoidosis patients.</p>\n\n<p><strong>Conclusions:</strong> PFT can help identifying individual features of different types of ILD being able to show even obstructive changes in a group of diseases thought to be strictly restrictive.</p>", 
  "author": [
    {
      "family": "Calaras, Diana"
    }, 
    {
      "family": "Rusu, Doina"
    }, 
    {
      "family": "David, Aliona"
    }, 
    {
      "family": "Botnaru, Victor"
    }
  ], 
  "page": "9-14", 
  "volume": "63(5)", 
  "type": "article-journal", 
  "id": "4018896"
}