Inflamed Lungs, (Pneumonitis) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

Pneumonitis is a normal term for inflammation of lung tissue.
Chronic inflammation of lung tissue can result in irreversible scarring (pulmonary fibrosis).
Pneumonitis is not a definite disease but a sign of an underlying disorder.
While pneumonia is technically a form of pneumonitis, most doctors are referring to other causes (hypersensitivity or chemical effect) of lung inflammation when they use the term "pneumonitis".
Acute chemical pneumonitis produces swelling of the lung tissue, movement of fluid into the air spaces in the lung and decreased ability to absorb oxygen and remove carbon dioxide.
In severe instances, death of patients may occur from hypoxia.
Chronic pneumonitis may result from low levels of exposure to the irritant over long periods of time, producing inflammation which may result in fibrosis, leading to reduced gas exchange and stiffening of the lung, and eventually resulting in respiratory failure and death.
Causes
The disease can be caused by many known factors such as:

1. Breathing in animal dander,
2. Exposure to feathers or bird excrement,
3. Aspiration inhaling small food particles,
4. Sepsis,
5. Inhaling chemicals, such as of spores of some species of mushroom or Sodium hydroxide and
6. Receiving radiation therapy to the chest
   Causes of pneumonitis are:
7. Pneumonia - . Pneumonitis is normally used for noninfectious causes of lung inflammation.
8. Inhalation of foreign matter, normally of stomach contents
9. Pertussis (whooping cough)
10. Exposure to an inhaled allergen
11. Connective tissue diseases
12. Adverse reaction to a drug or toxic chemical; many household and industrial chemicals
13. Exposure to dangerous levels of chlorine gas
14. Inhalation of dangerous substances can happen during smelting, welding or other metalwork
15. Medicine: a variety of medicines can cause interstitial pneumonitis
16. Radiation therapy
    Symptoms of pneumonitis are:
17. Shortness of breath
18. Cough
19. Fatigue
20. Loss of appetite
21. Unintentional weight loss
22. Cyanosis
23. Finger clubbing
24. Exercise intolerance
    Diagnosis
    At the physical examination, the doctor will use a stethoscope to listen carefully to the lungs while the patient breathes.
25. Blood tests: FBC may be raised neutrophilia, lymphocytosis, eosinophilia, ESR raised in inflammation
26. Blood gases: hypoxemia
27. Sputum or culture of lung secretions with bronchoscopy
28. Serum activating antibodies against offending antigens for suspected pneumonitis
    Chest X-ray
    CXR may be normal or show micro-nodular or reticular opacities
    CT scan
    It may show:
29. Diffuse, patchy ground-glass attenuation and small, poorly defined centrilobular nodules;
30. Patchy areas of air-trapping;
31. Evidence of pulmonary fibrosis and
32. Honeycombing seen in chronic and advanced lung disease
    Spirometer measure lung function to see if it is normal
    Bronchoscopy check brochioles and do lung lavage or obtain samples of cells for testing
    Surgical lung biopsy
    Treatment
    Treatment of pneumonitis is dependent on the underlying cause and may need medicines such as:
33. Systemic corticosteroid therapy, which can improve resolution of pneumonitis.
    These drugs work by suppressing the immune system, decreasing inflammation in the lungs.
34. Antibiotics for infection.
35. If the patient has hypersensitivity or chemical pneumonitis, the doctor will advise eradicating exposure to the allergen or chemical irritating to the lungs.
36. Oxygen therapy
37. Lifestyle and home remedies
    No smoking
    Change of hobbies
    Change of work
    Pneumonitis that goes not noticed or not treated can produce irreversible lung damage.

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