Interstitial Lung Disease (ILD) in a Nutshell

An overview of ILD (also known as diffuse parenchymal lung diseases), including definition, classification, etiologies, and diagnostic evaluation (e.g. CT and PFT findings).

[StrongMed]

Minor addenda:


1. My framework for ILD didn't include a few particularly rare diagnoses (e.g. lymphangioleiomyomatosis - a very rare, cystic lung disease that primarily affects young women, which would go in the "other" category).


2. I probably overstated the fact that all ILDs demonstrate restriction on PFTs, whereas a relatively small number can also exhibit either an obstructive or mixed pattern.


3. I didn't discuss treatment at all since every disease is different, and going through each one would not be consistent with the "in a nutshell" approach. However, in general:
A. Any ILD associated with an exposure is best treated with removing the exposure.
B. Any patient with ILD who smokes needs to stop, immediately. (irrespective of whether the smoking was a contributing factor in developing their disease).
C. Steroids help many, but not all ILDs. IPF, in particular, should not be treated with steroids or other conventional immunosuppressive medication.
D. Vaccinations, supplemental oxygen, pulmonary rehab, and consideration of lung transplantation are part of the management of all ILDs, depending on severity.

[DocBree]

This is by far the best presentation I’ve seen on this subject - thank you!

[_ra__h]

Lost my dad yesterday. I just came here to say that this is a very serious condition. My dad was auto immune and was having drugs for both ILD and Auto immune diseases. Too much drugs and too much treatment, he still passed. Key is to identify this early.

Elders, if you have any breathing difficulty, get treatment right away, dont wait for it to get infected. Once you have pneumonia, it will take away a part of your breathing capacity. so please, get early treatment.

[DeathValleyDazed]

Came here after sibling’s ER MD gave Dx today from CT scan. This excellent video provides a foundation from which to make sense of prognosis. Much thanks and gratitude.

[howtomedicate]

Great video! It gives a very clear overview! Thanks a lot.

[sunving]

Thank you Dr Strong . It is a good over view. I just read about this today and your overview is spectacular. Thank you for taking your time to teach doctors around the world.

[fdecar]

Nice presentation. Thank you. I am being evaluated for ILD and your video has been very informative.

[folashadeadio]

Thanks, doc. No longer overwhelmed by the ILDs.

[cornelbacauanu]

Amazingly clear presentation of a complex topic. Thank you .

[MS-vzpg]

An excellent video that demonstrates ild in an easy way. Please keep uploading more videos.
Thanks and lots of love.

[diegofavaratozfilms]

My grandma passed away from this just recently 😢I miss her so much😭😭😭

[knosp]

Thank you for posting this. I am an RRT and this is very helpful.

[prashantsingh]

When are we expected to get permanent cure of the lungs scarring which can completely reverse this?

[FalconMidget]

Wow you actually covered the illness that caused my ILD. Polymyositis and dermatomyositits

[RasishSubedi]

Doc, Its been a while you haven't updated your Google doc ( strong medicine notes )

[barbelgeomuc]

In your column for connective tissue diseases you are missing Sjogren syndrom

[nezarmohamed]

Watched it many times and I will do again
God bless you

[drpulakranjandas]

Excellent presentation. We are expecting to hear more from you 😊.

[toreakforever]

Outstanding work! This overview is much better then my whole internal medicine rotation

[dr.md.shalahuddin]

Thanks Dr. Eric.
This is a very good starting.
But I would request u to make another video on HRCT features of different ILD & how considering the clinical & other biochemical features diagnostic work up is done.