Case overview

A 76-year-old male patient presented with progressive exertional dyspnoea refractory to current formoterol/beclomethasone medication.

Auscultation revealed velcro-like crackles with basal predominance and diminished breath sounds. Features on high-resolution CT (HRCT) scans showed a possible UIP pattern.

Despite absence of honeycombing – which is a pre-requisite for the diagnosis of a definite UIP pattern – considering of all available data in the presence of a possible UIP pattern can lead to a “working diagnosis” of IPF in clinical practice without resorting to surgical lung biopsy.
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