Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a progressive, insidious onset of non-productive cough and exertional dyspnea. History significant for [Autoimmune/Connective Tissue Disease/HIV/Dysproteinemia]. Denies acute infectious symptoms, hemoptysis, or chest pain. Symptoms are chronic in nature, evolving over [months/years].
Clinical Examination Findings
Respiratory exam reveals bilateral fine end-inspiratory crackles, predominantly at the lung bases. No evidence of wheezing or rhonchi. Cardiac exam is regular, S1/S2 normal, no murmurs. Peripheral exam shows no digital clubbing or cyanosis. O2 saturation is [X]% on room air.
Treatment Protocol
Initiate systemic corticosteroid therapy (Prednisone [X] mg/day) with a planned slow taper based on clinical and radiographic response. Consider steroid-sparing agents (e.g., Mycophenolate mofetil or Azathioprine) for refractory cases or to minimize long-term steroid toxicity. Monitor pulmonary function tests (PFTs) and HRCT chest at [X] month intervals.