Pre PACES Podcast #115 Interstitial lung disease
Jun 8, 2025
Dr. Huzaifa Adamali, a consultant respiratory physician specializing in interstitial lung disease, shares his expertise. He discusses the myriad causes of ILD, from occupational hazards to autoimmune connections. Adamali explains the importance of thorough examinations, detailing the key physical signs to look for, including vital hand and chest observations. He also covers the latest in diagnostic imaging and management strategies, including antifibrotic therapies and the role of multidisciplinary teams in patient care.
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ILD As A Diverse, Growing Clinical Problem
- ILD is a group of ~100 conditions causing inflammation and fibrosis in the pulmonary interstitium.
- Improved treatments mean patients live longer and appear more often in clinics.
Systematically Screen Occupation And Drugs
- Ask an occupational history and probe for asbestos, coal, and silica exposure.
- Always review medication history for drugs that cause lung injury like methotrexate, nitrofurantoin and amiodarone.
Hunt Hidden Environmental Antigens
- Check environmental exposures including mould, birds and unusual sources like musical instruments.
- Remove or reduce the antigen (eg. rehome birds, clean mouldy housing) when hypersensitivity pneumonitis is suspected.