Eosinophilic lung disease - chronic

Discussion:

Patient was admitted to respiratory ward. (FEV1: 0.58, 27% - FVC: 0.8L, 35% - DLCO: 8.4, 39%) treated with regular Albuterol nebulisation and physiotherapy. Atypical serology was negative. Sputum M.C.S was negative.

Oral steroids were given (Prednisolone started at 50 mg and weaned to 25 mg). The patient had pulse IV Methylprednison for consecutive three days before discharge. Patient was commenced on Azathioprine 50 mg which she will be maintained on for a period of time with steroids.

Bone scan was performed which confirmed osteoporosis.

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