DOI: 10.36347/sjams.2013.v01i02.016

Pages: 98-100

Abstract: 41 Year old male who had long term exposure to lead soldering fumes presented with dyspnea on exertion for two months duration. He had cough with sputum production in the previous 7 months period. No history of asthma or any other respiratory diseases before the present job. On examination he had clubbing and conjunctival congestion.Respiratory system examination showed bilateral crackles and occasional rhonchi. Spo2 was 92% without oxygen. Chest Xray showed bilateral reticulonodular shadowing. HRCT thorax revealed interstitial pattern with nodular shadowsconsistent with hypersensitivity pneumonitis. PFT showed moderate restrictive pattern. Based on these patient was given oral corticosteroids and on regular follow up there was significant exercise tolerance with objective improvement