e-ISSN 2147-2475
Cilt : 12 Say : 1 Yl : 2023

Hzl Arama




COVD-19 Pnmonisi Sonras Progresyon ile Tan Alan diopatik Pulmoner Fibrozis Olgusu [Respir Case Rep]
Respir Case Rep. 2022; 11(3): 147-151 | DOI: 10.5505/respircase.2022.24540

COVD-19 Pnmonisi Sonras Progresyon ile Tan Alan diopatik Pulmoner Fibrozis Olgusu

Ayegl Pehlivanlar, Tevfik zl
Karadeniz Teknik niversitesi, Tp Fakltesi, Gs Has-talklar Anabilim Dal, Trabzon

Hastann COVD-19 geirdikten sonraki akcier tomografisinde bilateral fibrotik odaklar mevcuttu. ki ay sonraki bavurusu tomografisi ile karlatrldnda fibrotik odaklarn bal petei lezyonlarn ncl olduu ve COVD pnmonisi sonras olaan interstisyel pnmoni (UP) paterninin meydana geldii grld. COVD-19 ncesi dispnesi olan ancak interstisyel akcier hastal tans almayan hastada mevcut lezyonlarn UP nc lezyonlar olduu ve hastalk dneminde fibroblast aktivitesinin art ve fibrotik yolaklarn tetiklenmesi ile beraber progresyon gsterdii dnld. Hasta idiopatik pulmoner fibrozis (IPF) olgusu olarak deerlendirildi. Uzun dnem kontrollerde antiinflamatuvar tedaviler ile rahatlamayan ilerleyici fibrozis saptanan COVD-19 hastalarnda eer UIP grnm gelimi ise mutlaka PF olaslnn dnlmesini ve bu yn ile hastalarn COVD-19 ncesi klinik ve radyolojik bulgularnn erken IPF asndan aratrlmasn neriyoruz.

Anahtar Kelimeler: IPF, COVD, fibrozis

A Case of Idiopathic Pulmonary Fibrosis Diagnosed with Progression Post-COVID-19 Pneumonia

Ayegl Pehlivanlar, Tevfik zl
Department of Chest Diseases, Karadeniz Technical University, Faculty of Medicine, Trabzon, Trkiye

A chest tomography taken after COVID-19 revealed bilateral fibrotic foci areas, and two months later it was seen that they had been precursors to honeycomb lesions, and that the usual interstitial pneumonia (UIP) pattern associated with post-COVID pneumonia had occurred. It was noted that the fibrotic lesions in the left lung were already present before the disease. The lesions present in the patient, who had dyspnea pre-COVID-19 but had not been diagnosed with ILD, were considered to be UIP precursor lesions that progressed with the increase in fibroblast activity and the triggering of fibrotic pathways in the course of the disease. The patient was thus diagnosed with Idiopathic Pulmonary Fibrosis (IPF). We suggest that if a UIP appearance develops in COVID-19 patients with progressive fibrosis that is not relieved by anti-inflammatory treatments in long-term examinations, the possibility of IPF should be considered, and so the clinical and radiological findings of patients pre-COVID-19 should be investigated for the early identification of IPF.

Keywords: IPF, COVID, fibrosis

Ayegl Pehlivanlar, Tevfik zl. A Case of Idiopathic Pulmonary Fibrosis Diagnosed with Progression Post-COVID-19 Pneumonia. Respir Case Rep. 2022; 11(3): 147-151

Sorumlu Yazar: Ayegl Pehlivanlar, Trkiye
Makale Dili: ngilizce
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