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Diagnosed with COPD. Had pulmonary TB as a youngster, taken methotrexate a decade ago, stopped soaking long back. Cause?

Hi I had Pulmonary TB when I was 27yrs old, I had to use methotrexate for 13yrs ( psoriasis & psoriatic arthropathy ) & 20yrs ago I stopped smoking after having smoked for 25yrs. I have been diagnosed with COPD my Dr said this was only to be expected. Why, the TB was cured, I no longer take methatrexate how can these two things still have an effect on my lungs?
Asked On : Sat, 16 Jun 2012
Answers:  2 Views:  120
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Allergist and Immunologist 's  Response
COPD is a complex disease and reflects airways inflammation not reversed by inhaled corticosteroids and the common cause is smoking.
I take it you were still smoking when the TB was diagnosed and when you were on MTX which (if that was the case) was a bad combination.
MTX also has lung side effects and classed into MTX-pneumonitis where the typical presenting complaints include fever, shortness of breath (acute) but also long term non-reversible complications of bronchiolitis or restrictive lung disease that may appear like COPD. So please ensure you have seen a Pulmonologist with experience in MTX-lung disease.

I hope this was useful.
Answered: Sun, 17 Jun 2012
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Dermatologist Dr. Puvvula Kishore Kumar's  Response
Hi...dear alvis..,
Thanks for choosing HCM..,
Pulmonary TB is caused by bacterial infection...,
named Mycobacterium tuberculosis.,
Psoriasis is genetic predisposition...,
It attacks skin, joints, and nails ..,
Where as TB attacks lungs, blood, spine and brain..,
So both are different disease entity..,
Answered: Sat, 16 Jun 2012
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