The SGRQ is certainly a self-administered questionnaire that is used to assess health-related quality of life. It comprises three domains . The total rating and the rating for each domain range between 0 to 100, with higher scores indicating worse health-related quality of life.14,15 A minimally important difference in the rating is not established for sufferers with idiopathic pulmonary fibrosis; in patients with chronic obstructive pulmonary disease, this difference is normally 4 points.16 Individuals completed the SGRQ at baseline and at 6, 12, 24, and 52 weeks. Acute exacerbations were defined as events meeting all the following requirements: unexplained worsening or advancement of dyspnea within the prior 30 days; fresh diffuse pulmonary infiltrates visualized on upper body radiography, HRCT, or both, or the advancement of parenchymal abnormalities without pneumothorax or pleural effusion because the preceding go to; and exclusion of any known causes of acute worsening, including contamination, left heart failing, pulmonary embolism, and any identifiable cause of acute lung injury, in accordance with routine clinical practice and microbiologic research.Leukopenia continued through the entire hospitalization, with significant lymphopenia and moderate neutropenia that progressed to moderate neutropenia on time 7 . Band forms were detected on days 2 and 8. An erythrocyte sedimentation rate was within the normal range at 9 mm per hour, and the erythrocyte hemoglobin and count had been unremarkable and stable. The hematocrit was somewhat low during hospitalization . The prothrombin period and partial-thromboplastin time were normal. Serum hepatic aminotransferase amounts increased and peaked, with an alanine aminotransferase degree of 315 U per liter and an aspartate aminotransferase level of 431 U per liter on time 8 .