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Breathlessness  for last 2 months
17 year old male patient with PMH of Asthma and CTEPH on riociguat. Gradually progressive tiredness with low grade temp 99F for last 2 months associated with increasing shortness of breath on exertion and dry cough. Had severe pneumonia 4 months back requiring HFNC for 21 days. Shortness of breath and cough increased severely over last 15 days. SpO2 at rest 94% dropping to 78% during walking 20 steps. Last chest xray shows right lower lobe ground glass opacities but no causative organism detected. Blood reports are WNL. Chest findings are bilateral scattered rhonchi on expiration and lower zone crackles. Not responding to nebulizer. Recieved short course steroid prednisolone for 10 days with minimal improvement. SYMPTOMS INCREASED ON STOPPING STEROIDS. Patient is not willing to do HRCT (Thorax) due to risk of radiation exposure as multiple HRCT has been done in lifetime. Can it be due to IDIOPATHIC INTERSTITIAL PNEUMONIA/ COP? IS IT NECESSARY TO CONTINUE STEROIDS? for how long?
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ct will show exactly the variant..convince him to get it..also share the reports
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yes it can be cop, but for that ct chest is needed and may also need bronchoscopy with biopsy for confirmation and to put on steroids
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Hi. I understand your concern. Do a online consult for a detailed analysis of your symptoms and reports to suggest you further management plan and treatment prescription for the same
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Consult a pulmonologist
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.