Introduction & Objectives
A Mysterious Rash in a Patient with Interstitial Lung Disease
Objectives
Case Presentation
Initial Presentation
Erythema Nodosum
Other Causes of Erythema Nodosum
Tests in Primary Care
Treatment of Erythema Nodosum
Tests in Secondary Care
Chest Radiograph
CXR Findings
What Stage of Disease Does She Have?
Differential Diagnoses of BHL
CT Scan
PET (Positron Emission Tomography)
Bronchoscopy
Sampling Lymph Nodes
EBUS (Endobronchial Ultrasound)
Histology
Treatment - Stage 1 Disease
Treatment - Who Should Get Steroids?
Treatment - Other Treatments?
Outcome
Resources & Feedback
References
Feedback
A Mysterious Rash in a Patient with Interstitial Lung Disease
Treatment - Other Treatments?
Some patients will have progressive disease despite oral corticosteroids
In these circumstances other medication can be added in, commonly described as “steroid sparing” drugs
This can allow the dose of steroid to be reduced and prevent long term side effects
Which of these drugs are used for this purpose?
(Select all that apply)
Hydroxychloroquine
Methotrexate
Leflunomide
Cyclophosphamide
Infliximab
Azathioprine
Please answer each row