A little about me. I'm 25, former smoker(quit a few months ago). Last year I was hospitalized with Stevens Johnsons Syndrome(SJS), which left me with chronic dry eye and chronic bronchitis although I did not experience any obvious respiratory symptoms. Prior to that I was absolutely healthy and played sports and worked out fairly regularly. After a few months recovering from this, when I started strenuous exercises i.e. running, sprinting, I felt my chest tightening up. I went to a doc who said it was probably asthma and prescribed formoterol/budesonide and montelukast sodium. A few months later, my bedroom was treated for termite infestation, the fumes of which I presumed cleared up after about 4 days. After returning to my bedroom for a few nights, I woke up in a panic with severe SOB. This pattern continued for 2 more nights before I went to see a pulmonologist who said it sounded like asthma and prescribed oral prednisone for 5 days following which I did a PFT and was diagnosed with asthmatic bronchitis. I did a follow up test 2 months later. The numbers for the tests in % are below.
Sept.15, 2007
Pre Post
FVC 82.2 83.9
FEV1 61.8 64.1
PEF 89.6 83.2
RV-He 92.1
TLC-He 84.9
RV% TLC-He 109.4
DLCO SB 62.9
DLCO/VA 90.0
Nov. 23, 2007
Pre Post
FVC 84.8 84.63
FEV1 70.2 69.1
PEF 88.1 90.3
RV-He 65.0
TLC-He 80.4
RV% TLC-He 82.7
DLCO SB 54.1
DLCO/VA 81.6
How would you interpret the results? What do you think the cause of my COPD is? Long term prognosis? Cause of low DLCO and drop in it from test 1 to test 1? I am currently on tiotropium bromide and salmeterol/fluticasone propionate. My reason for posting this is one doc is pessimistic and the other highly optimistic.
Thank you.