<?xml version="1.0" encoding="utf-8"?>
<journal>
<title>Medical Journal of the Islamic Republic Of Iran</title>
<title_fa>مجله پزشکی جمهوری اسلامی ایران</title_fa>
<short_title>Med J Islam Repub Iran</short_title>
<subject>Medical Sciences</subject>
<web_url>http://mjiri.iums.ac.ir</web_url>
<journal_hbi_system_id>2</journal_hbi_system_id>
<journal_hbi_system_user>journal2</journal_hbi_system_user>
<journal_id_issn>1016-1430</journal_id_issn>
<journal_id_issn_online>2251-6840</journal_id_issn_online>
<journal_id_pii>8</journal_id_pii>
<journal_id_doi>10.18869/mjiri</journal_id_doi>
<journal_id_iranmedex></journal_id_iranmedex>
<journal_id_magiran></journal_id_magiran>
<journal_id_sid>14</journal_id_sid>
<journal_id_nlai>8888</journal_id_nlai>
<journal_id_science>13</journal_id_science>
<language>en</language>
<pubdate>
	<type>jalali</type>
	<year>1370</year>
	<month>8</month>
	<day>1</day>
</pubdate>
<pubdate>
	<type>gregorian</type>
	<year>1991</year>
	<month>11</month>
	<day>1</day>
</pubdate>
<volume>5</volume>
<number>3</number>
<publish_type>online</publish_type>
<publish_edition>1</publish_edition>
<article_type>fulltext</article_type>
<articleset>
	<article>


	<language>en</language>
	<article_id_doi></article_id_doi>
	<title_fa></title_fa>
	<title>LOWER LUNG FIELD TUBERCULOSIS: AN ANALYSIS OF 146 CASES</title>
	<subject_fa>Microbiology and Anatomy</subject_fa>
	<subject>Microbiology and Anatomy</subject>
	<content_type_fa>Original Research</content_type_fa>
	<content_type>Original Research</content_type>
	<abstract_fa></abstract_fa>
	<abstract>Medical records of 146 patients with lower lung field tuberculosis were
reviewed. There was a female to male ratio of5: 4. More than 75% of patients
were under 35 years of age and average duration of symptoms before
diagnosis was less than one month in 7% , between 1 -6 months the in 63 % and
more than 12 months in 10% of our patients. PPD test was positive in 80%
and direct sputum smear for acid-fast bacilli was positive in 88% of cases.
Radiologically, tuberculous lesion was limited to right lower lobe (RLL)
alone in more than 50% , left lower lobe (LLL) alone in 35% , while bilateral
lower lobe involvement was found in 15% of our patients. Superior segments
of right and left lower lobes were the most commonly involved segments
respectively. Pulmonary infiltrates were nonhomogenous in more than 80%
of cases while homogenous pneumonia-like consolidations were found in
15% of our series. 6 6% of patients had cavitary changes with air-fluid levels
in 20%. Hilar adenopathy alone or in combination with paratracheal
adenopathy was found in chest x-rays of 9% of cases. Fasting and two hour
postprandial blood sugars were measured in 98 patients. Seven (7.1 %) had
overt diabetes mellitus and all of them were diabetic at the time of diagnosis
of tuberculosis. Five pregnant women, a medical student, a radiology
technician, an old male with metastatic carcinoma of unknown primary
origin under chemotherapy, a middle-aged woman with rheumatic heart
disease (mitral stenosis) who acquired tuberculosis of superior segment of
RLL after valve replacement, an old female with rheumatoid arthritis on
nonsteroid anti-Inflammatory agents, a male with history of alcohol intake, a
young male with alopecia totalis and a young female with tuberous sclerosis
were included among our patients.
</abstract>
	<keyword_fa></keyword_fa>
	<keyword></keyword>
	<start_page>111</start_page>
	<end_page>116</end_page>
	<web_url>http://mjiri.iums.ac.ir/browse.php?a_code=A-10-298-815&amp;slc_lang=en&amp;sid=1</web_url>


<author_list>
	<author>
	<first_name>H</first_name>
	<middle_name></middle_name>
	<last_name>HEIDARNEDJAD</last_name>
	<suffix></suffix>
	<first_name_fa></first_name_fa>
	<middle_name_fa></middle_name_fa>
	<last_name_fa></last_name_fa>
	<suffix_fa></suffix_fa>
	<email></email>
	<code>20031947532846006730</code>
	<orcid>20031947532846006730</orcid>
	<coreauthor>Yes
</coreauthor>
	<affiliation>From the Department of Medicine and Center for Tuberculosis Control, Tabriz University of Medical Sciences, Tabriz, Islamic Republic of Iran.</affiliation>
	<affiliation_fa></affiliation_fa>
	 </author>


	<author>
	<first_name>A</first_name>
	<middle_name></middle_name>
	<last_name>BAHRAMI</last_name>
	<suffix></suffix>
	<first_name_fa></first_name_fa>
	<middle_name_fa></middle_name_fa>
	<last_name_fa></last_name_fa>
	<suffix_fa></suffix_fa>
	<email></email>
	<code>20031947532846006731</code>
	<orcid>20031947532846006731</orcid>
	<coreauthor>No</coreauthor>
	<affiliation></affiliation>
	<affiliation_fa></affiliation_fa>
	 </author>


</author_list>


	</article>
</articleset>
</journal>
