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Topics:
Rheumatology • Interstitial lung disease • Pulmonology • ACR Journal Club • Diffuse Parenchymal Lung Disease
What findings on routine monitoring PFTs prompt you to pursue HRCT in your patients with SARDs?
For example, in a patient with SARD in whom you are screening with PFTs annually on an ongoing basis, what would prompt you to pursue repeat CT after an initially negative baseline screen originally?
Answer from: at NCI-Designated Cancer Center
That’s an excellent question, and the strategy might vary somewhat by the specific SARD, but in general, in any SARD patient undergoing annual PFTs, the presence of any of these should prompt an HRCT to evaluate for the development of ILD.
FVC drop ≥ 10%
DLCO drop ≥ 15%
Moderate dec...
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Answer from: at Academic Institution
I don't think there is a way to set specific recommendations for this. Declines in physiology without other explanation, with or without symptoms, prompt me to get imaging. This is taking into consideration other things that affect the FVC and DLCO, but any significant decline (5% or greater?) would...