Case Report: Diffuse Interstitial Pulmonary Fibrosis (Hamman-Rich Syndrome): Diagnosis by Lung Biopsy; Treated with Cortico-Steroids ELLIS J. VAN SLYCK,

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Presentation transcript:

Case Report: Diffuse Interstitial Pulmonary Fibrosis (Hamman-Rich Syndrome): Diagnosis by Lung Biopsy; Treated with Cortico-Steroids ELLIS J. VAN SLYCK, M.D., F.C.C.P. Diseases of the Chest Volume 31, Issue 5, Pages 593-598 (May 1957) DOI: 10.1378/chest.31.5.593 Copyright © 1957 The American College of Chest Physicians Terms and Conditions

FIGURE 1 Posterior-anterior film of chest taken on September 30, 1954. There is a diffuse mottled and linear increase in pulmonary markings. Diseases of the Chest 1957 31, 593-598DOI: (10.1378/chest.31.5.593) Copyright © 1957 The American College of Chest Physicians Terms and Conditions

FIGURE 2 Posterior-anterior film of the chest taken on October 11, 1955. A definite increase in cardiac size, apparently left ventricular, is now evident. Diseases of the Chest 1957 31, 593-598DOI: (10.1378/chest.31.5.593) Copyright © 1957 The American College of Chest Physicians Terms and Conditions

FIGURE 3 Posterior-anterior film of chest taken on August 31, 1956. Although patient at this time is clinically much improved, there is little change in appearance of pulmonary parenchyma. Diseases of the Chest 1957 31, 593-598DOI: (10.1378/chest.31.5.593) Copyright © 1957 The American College of Chest Physicians Terms and Conditions

FIGURE 4 Electrocardiogram obtained on November 15, 1954 interpreted as being within normal limits. Diseases of the Chest 1957 31, 593-598DOI: (10.1378/chest.31.5.593) Copyright © 1957 The American College of Chest Physicians Terms and Conditions

FIGURE 5 Electrocardiogram obtained on October 10, 1955, showing the appearance of right ventricular hypertrophy since the previous tracing. Diseases of the Chest 1957 31, 593-598DOI: (10.1378/chest.31.5.593) Copyright © 1957 The American College of Chest Physicians Terms and Conditions

FIGURE 6 Diffuse alveolar septal thickening results in three to five fold increases in thicknesses. Alveolar lumina are, for the most part, empty except for clumps of red blood cells, interpreted as operative artifacts. Diseases of the Chest 1957 31, 593-598DOI: (10.1378/chest.31.5.593) Copyright © 1957 The American College of Chest Physicians Terms and Conditions