Not another exacerbation of COPD

AuthorGoh, N.
JournalRespiratory Medicine Today
Year of Publication2018
AbstractA 68-year-old recently retired male hairstylist with presumed chronic obstructive pulmonary disease presents with increasing dyspnoea and a persistent dry cough. Do his symptoms represent an exacerbation of COPD or some other condition?
Key Points
Spirometry is required for a diagnosis of chronic obstructive pulmonary disease.
Diagnosis of interstitial lung diseases, including idiopathic pulmonary fibrosis (IPF), requires a multidisciplinary approach.
IPF is an irreversible and progressive form of interstitial lung disease, with no known cause, that is associated with a poor prognosis.
Antifibrotic therapies (pirfenidone and nintedanib) significantly slow disease progression by about 50% in patients with mild-to-moderate IPF.
Early diagnosis of IPF is important so that antifibrotic therapy can be offered early to best preserve lung function.
Supportive care is important in the management of patients with IPF and should be considered early, irrespective of antifibrotic therapy.

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