History elicited | Frequently associated ILD or complications of ILD |
---|---|
Rapid onset and worsening | AIP |
Infection | |
Acute HP, acute EP | |
Drug reaction | |
COP | |
CTD (e.g. acute lupus pneumonitis) | |
DAH (e.g. GPS) | |
Smoking | RB-ILD, DIP, PLCH |
Occupation: Pipefitter, foundry worker, coal miner, | Pneumoconiosis |
Pneumotoxic drug exposure | Drug-induced ILD |
Hemoptysis | DAH, pulmonary capillaritis, pulmonary venoocclusive disease, LAM |
Superimposed complications (e.g. pulmonary emboli, lung neoplasm) | |
Pleurisy | CTD (SLE, RA) |
Wheezing | HP, EP |
Eye symptoms | CTD, sarcoidosis, PAG |
Impaired vision combined with albinism & Puerto Rican heritage | HPS |
Rash | Sarcoidosis, CTD |
Exposure to organic antigens at home or at work (e.g. birds, grain dust, humidifiers, visible molds, hot tubs,etc.) | HP |
Occupational ILD | |
Abnormal GER, GERD, dysphagia | CTD (especially scleroderma), IPF |
Sicca symptoms | Sjögren’s disease |
Raynaud’s phenomenon | CTD |
Arthralgias, arthritis | CTD, sarcoidosis |
Myalgias, muscle weakness | DM-PM |
Morning stiffness | RA, CTD |
Age >70Â years | IPF > other ILD if HRCT suspicious for IIP |