The Journal of Association of Chest Physicians最新文献

A rare manufacturing defect in the endotracheal tube 气管插管的罕见制造缺陷

The Journal of Association of Chest Physicians Pub Date : 2024-01-01 DOI: 10.4103/jacp.jacp_59_23

Kathiravan Thangavel, S. Chowdhury, Hirok Roy

引用次数: 0

Post-COVID-19 pulmonary fibrosis with prognostic risk factors: A study in the hilly state of North India COVID-19后肺纤维化与预后风险因素：北印度丘陵地区的一项研究

The Journal of Association of Chest Physicians Pub Date : 2024-01-01 DOI: 10.4103/jacp.jacp_35_23

S. Thakur, A. Jhobta, Sai Kalyani, Sunil Sharma, C. Thakur

{"title":"Post-COVID-19 pulmonary fibrosis with prognostic risk factors: A study in the hilly state of North India","authors":"S. Thakur, A. Jhobta, Sai Kalyani, Sunil Sharma, C. Thakur","doi":"10.4103/jacp.jacp_35_23","DOIUrl":"https://doi.org/10.4103/jacp.jacp_35_23","url":null,"abstract":"\u0000 Context: Coronavirus disease 19 (COVID-19) is caused by severe acute respiratory syndrome coronavirus 2 (SARS CoV-2). As it is a novel coronavirus infection, its acute as well as long-term pulmonary alterations in terms of radiological imaging and pathology need to be explored. Aim: To analyze the risk factors associated with the development of pulmonary fibrosis in post-COVID-19 patients. Settings and Design: A retrospective study in a tertiary center in a hilly state of North India. Methods and Material: A retrospective study was carried out in a hilly state of North India during the second wave of the COVID-19 pandemic. A baseline computed tomography (CT) within 1 month and a follow-up CT within 3–6 months of the onset of patients’ symptoms was done. The patients were assigned two groups based on the presence of fibrosis [reticular pattern (inter/intralobular septal thickening), parenchymal bands, bronchiectasis, and/ or honeycombing] on follow-up CT. The patients’ demographic profiles, clinical records, blood laboratory findings, treatment given, baseline CT, and follow-up CT findings were compared between the fibrosis and non-fibrosis groups. Statistical analysis used: The data entry was done in the Microsoft EXCEL spreadsheet, and the final analysis was done with the use of Statistical Package for Social Sciences (SPSS) software, IBM manufacturer, Chicago, USA, ver 25.0. Results: Of the total 72 patients, two had no abnormality on baseline CT. Forty (57.14%) out of 70 patients already had fibrosis on baseline CT, which increased to involve 47 (67.14%) patients on follow-up CT. It was analyzed that old age, smoking, comorbid status, low SpO2, longer hospitalization, lymphopenia, and increased severity of COVID-19 disease were independent risk factors for the development of pulmonary fibrosis in post-COVID-19 pneumonia. Conclusions: A better understanding of the underlying mechanism and pathogenesis can help in filling up of gaps in risk stratification of COVID-19.","PeriodicalId":30411,"journal":{"name":"The Journal of Association of Chest Physicians","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140519269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Wegener’s granulomatosis versus pulmonary tuberculosis: a dilemma 韦格纳肉芽肿病与肺结核：两难选择

The Journal of Association of Chest Physicians Pub Date : 2024-01-01 DOI: 10.4103/jacp.jacp_53_23

Amita Mason, V. Jethani, Rahul Kumar, Yogesh Preet Singh

引用次数: 0

Assessment of the value of 6-min walk test to predict the severity of interstitial lung disease among Indian patients 评估 6 分钟步行测试对预测印度患者间质性肺病严重程度的价值

The Journal of Association of Chest Physicians Pub Date : 2024-01-01 DOI: 10.4103/jacp.jacp_54_23

Anantha Krishna Sompalli, Sateesh Rao Kailasa, Varun Pulugundla, Naveen Chandra Reddy Kotha, Pawan Kumar Sharma, Gopala Krishnaiah Velisela, Mohammed Soheb Sadath Ansari

{"title":"Assessment of the value of 6-min walk test to predict the severity of interstitial lung disease among Indian patients","authors":"Anantha Krishna Sompalli, Sateesh Rao Kailasa, Varun Pulugundla, Naveen Chandra Reddy Kotha, Pawan Kumar Sharma, Gopala Krishnaiah Velisela, Mohammed Soheb Sadath Ansari","doi":"10.4103/jacp.jacp_54_23","DOIUrl":"https://doi.org/10.4103/jacp.jacp_54_23","url":null,"abstract":"\u0000 Introduction: The prevalence of interstitial lung disease (ILD) is increasing. High-resolution computerized tomography (HRCT), despite having limitations, remains the choice of method for diagnosis and assessment of severity of ILD. Objective: To determine the efficacy of 6-min walk test to assess the severity of the ILD compared to HRCT. Methodology: A cross-sectional study was done among 40 patients with ILD in a tertiary hospital in Hyderabad. The data included age, gender, smoking, HRCT, 6-min walk test, spirometry, diffusion lung capacity and medical history. Mann–Whitney U test, Kruskal–Wallis test, and ROC curve were used to determine the outcomes. Results: The mean age of participants was 57.18 + 13.01 years. 62.5% never smoked. Overall, 50% had severe ILD, and the rest had mild to moderate. The distance walked per 6-min, SpO2 before and SpO2 after, was significantly lower (p = 0.001; 0.002; <0.001, respectively) among patients with severe ILD than mild or moderate. The sensitivity and 1-specificity of the distance walked in 6-min to detect the severity of ILD was 0.90 and 0.31, respectively; sensitivity and 1-specificity of SpO2 before the test was 0.81 and 0.34, while that of SpO2 after the test was 0.90 and 0.17, respectively. Conclusion: This study found that the 6-min walk test is highly sensitive and specific for predicting the severity of ILD among patients. All three components of the 6-min walk test: distance, oxygen saturation before, and oxygen saturation after the test significantly lowered and were independent predictors of severe ILD.","PeriodicalId":30411,"journal":{"name":"The Journal of Association of Chest Physicians","volume":"16 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140524867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Two young adults presenting with breathlessness and recurrent chest infection: a major miss!!! 两名年轻成人出现呼吸困难和反复胸腔感染：重大失误

The Journal of Association of Chest Physicians Pub Date : 2024-01-01 DOI: 10.4103/jacp.jacp_6_23

V. Marwah, Robin Choudhary, Virender Malik, Naveen Yadav

引用次数: 0

Persistent residual lung abnormalities as final outcome in recovered severe COVID-19 pneumonia with lung function abnormalities in spirometry: Pulmonologist and radiologist perspective 肺功能异常的 COVID-19 重症肺炎康复者的最终结果是肺部持续残留异常：肺科医生和放射科医生的观点

The Journal of Association of Chest Physicians Pub Date : 2024-01-01 DOI: 10.4103/jacp.jacp_62_23

Shital Patil, Aditi Gatagat, Sheetal kumar Gatagat

{"title":"Persistent residual lung abnormalities as final outcome in recovered severe COVID-19 pneumonia with lung function abnormalities in spirometry: Pulmonologist and radiologist perspective","authors":"Shital Patil, Aditi Gatagat, Sheetal kumar Gatagat","doi":"10.4103/jacp.jacp_62_23","DOIUrl":"https://doi.org/10.4103/jacp.jacp_62_23","url":null,"abstract":"Coronavirus-related (severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2]) global pandemic has caused significant mortality and morbidity globally in the last 3 years. In the present case report, a 51-year-old man presented in the outdoor unit for shortness of breath on exertion with a history of severe coronavirus disease-2019 (COVID-19) pneumonia resulted in acute respiratory distress syndrome with hospitalisation in the intensive care unit 1 year back and required high-flow nasal cannula (HFNC) with noninvasive ventilatory support (NIV) for 2 weeks. He was offered oxygen supplementation at home with antibiotics for 3 months and there was no requirement of oxygen and some respiratory symptoms even after 1 year. His high-resolution computed tomography thorax documented at 1 year of discharge from the hospital revealed typical interstitial opacities labelled as persistent residual lung abnormalities (RLAs) that are predominantly reticular and linear opacities in peripheral parts of lungs without honeycombing within typical pleural-based areas with parenchymal bands and minimally altered lung architecture and preserved lung volume.","PeriodicalId":30411,"journal":{"name":"The Journal of Association of Chest Physicians","volume":"23 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140520731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A radiolucent cystic lesion in a chest radiograph of a breathless child − a case report 一名呼吸困难儿童胸片上的放射性囊性病变--病例报告

The Journal of Association of Chest Physicians Pub Date : 2024-01-01 DOI: 10.4103/jacp.jacp_56_23

Neeraj Sharma, Kunal Kumar, Robin Chaudhary, Amit Pathania

引用次数: 0

A rare case of extraosseous Ewing’s sarcoma 一个罕见的骨外尤文氏肉瘤病例

The Journal of Association of Chest Physicians Pub Date : 2024-01-01 DOI: 10.4103/jacp.jacp_1_24

Sandeep Rana, Robin Choudhary, M. Kirti, Deepak Mulajkar, S. Shivani

引用次数: 0

Carcinoid tumorlet/typical carcinoid of the lung: An incidental bronchoscopic finding and cytological dilemma 类癌小瘤/肺部典型类癌：支气管镜偶然发现和细胞学难题

The Journal of Association of Chest Physicians Pub Date : 2024-01-01 DOI: 10.4103/jacp.jacp_55_23

Ankit Pandey, Priyadharshini Bargunam, Mukul Saini, Snehashish Kundu, Manish Sharma

{"title":"Carcinoid tumorlet/typical carcinoid of the lung: An incidental bronchoscopic finding and cytological dilemma","authors":"Ankit Pandey, Priyadharshini Bargunam, Mukul Saini, Snehashish Kundu, Manish Sharma","doi":"10.4103/jacp.jacp_55_23","DOIUrl":"https://doi.org/10.4103/jacp.jacp_55_23","url":null,"abstract":"Carcinoid tumors of the lung are low-grade neuroendocrine tumors with the potential to progress to high-grade tumors. Diagnosing a typical carcinoid of the lung/tumorlet is a tough nut to crack, especially in their early stages when there is no well-defined lesion in the imaging. Besides, differentiating a carcinoid from low-grade adenocarcinomas of the lung cytologically is quite challenging due to their similar morphology. We report a case of typical carcinoid of lung/tumorlet in a 42-year-old male who presented with hemoptysis. Flexible fibreoptic bronchoscopy revealed a bump in the right middle bronchus. Bronchial biopsy showed a cellular smear with a monotonous round to oval bland-looking cells distributed in singles and in acini, having a high nuclear-cytoplasmic ratio, scant cytoplasm, regular round nuclei, and inconspicuous nucleoli. No atypical mitotic figures or necrosis were seen. With these features, a cytological diagnosis of a typical carcinoid was made. Biopsy was not attempted again due to the small size of the lesion and inaccessibility. Serum chromogranin levels were elevated, confirming the diagnosis. The PET scan was unremarkable. The patient was referred to medical oncology for further management. This report will create awareness about diagnosing early carcinoid/tumorlet, especially with the increasing use of bronchoscopy and cytological diagnostic caution of overdiagnosis of malignancy.","PeriodicalId":30411,"journal":{"name":"The Journal of Association of Chest Physicians","volume":"175 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140523466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Post-obstructive lung collapse due to mucus plug 粘液堵塞导致阻塞后肺塌陷

The Journal of Association of Chest Physicians Pub Date : 2024-01-01 DOI: 10.4103/jacp.jacp_36_23

Aravind K. Raj, Neenu Najeeb, Vithal Chintalwar, K. Utpat, U. Desai

引用次数: 0