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Abstract

The idiopathic interstitial pneumonias are a group of diffuse parenchymal lung diseases of unknown etiology with varying degrees of inflammation and fibrosis. They are classified into seven clinicopathological entities: idiopathic pulmonary fibrosis, nonspecific interstitial pneumonia, desquamative interstitial pneumonia, respiratory bronchiolitis/interstitial lung disease, organizing pneumonia, acute interstitial pneumonia, and lymphoid interstitial pneumonia. The diagnosis of the interstitial idiopathic pneumonias is clinical-radiological-pathological and requires the presence of an appropriate histological pattern in pulmonary biopsy. In idiopathic pulmonary fibrosis, a set of criteria has been established to permit diagnosis with a sensitivity of more than 90% when lung biopsy samples are not available. The only established treatment is based on glucocorticoids and immunossupressants, while lung transplantation is required in later stages.

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References

  1. American Thoracic Society/European Respiratory Society international multidisciplinary consensus classification of idiopathic interstitial pneumonias: General principles and recommendations. Am J Respir Crit Care Med 2002; 165: 277–304

    Google Scholar 

  2. Kim DS, Collard HR, King TE. Classification and natural history of the idiopathic interstitial pneumonias. Proc Am Thorac Soc 2006; 3: 285–292

    Article  PubMed  Google Scholar 

  3. Xaubet A, Ancochea J, Blanquer R, Montero C, Morell F, Rodríguez Becerra E et al. Diagnosis and treatment of diffuse interstitial lung diseases. Arch Bronconeumol 2003; 39: 580–600

    Article  CAS  PubMed  Google Scholar 

  4. American Thoracic Society. Idiopathic pulmonary fibrosis: diagnosis and treatment; joint statement of the American Thoracic Society and the European Respiratory Society. Am. J. Respir. Crit. Care Med. 2000; 161: 646–664

    Google Scholar 

  5. Martinez FJ. Idiopathic interstitial pneumonias. Usual interstitial pneumonia versus nonspecific interstitial pneumonia. Proc Am Thorac Soc 2006; 3: 81–95

    Article  CAS  PubMed  Google Scholar 

  6. Portnoy J, Veraldi KL, Schwarz MI, Cool CD, Curran-Everett D, Cherniack RM et al. Respiratory bronchiolitis-interstitial lung disease. Chest 2007; 131: 664–671

    Article  PubMed  Google Scholar 

  7. Ryu JH, Myers JL, Capizzi SA, Douglas WW, Vassallo R, Decker PA. Desquamative interstitial pneumonia and respiratory bronquiolitis-associated interstitial lung disease. Chest 2005; 127: 178–84

    Google Scholar 

  8. Cordier JF. Cryptogenic organizing pneumonia. Eur Respir J 2006; 28: 422–446

    Article  PubMed  Google Scholar 

  9. Cha SI, Fressler MB, Cool CD, Schwarz MI, Brown KK, Lymphoid interstitial pneumonia: clinical features, associations and prognosis. Eur Respir J 2006; 28: 364–369

    Article  PubMed  Google Scholar 

  10. Bonaccorsi A, Cancellien A, Chilosi M, Trisolini R, Boaron M, Crimi N. Acute interstitial pneumonia: report of a series. Eur Respir J 2003; 21: 187–191

    Article  CAS  Google Scholar 

  11. Hunninghake G.W., Zimmerman M.B., Schwartz D.A. Utility of a lung biopsy for the diagnosis of idiopathic pulmonary fibrosis. Am. J. Respir. Crit. Care Med. 2001; 164; 193–196

    CAS  PubMed  Google Scholar 

  12. Gotway MB, Freemer MM, King TE. Challenges in pulmonary fibrosis. 1: Use of high resolution CT scanning of the lung for the evaluation of patients with idiopathic interstitial pneumonias. Thorax 2007; 62: 546–553

    Google Scholar 

  13. Raghu G, Mageta YN, Lockhart D, Schmidt RD, Wood DE, Godwin JD. The accuracy of the clinical diagnosis of new onset idiopathic pulmonary fibrosis and other interstitial lung diseases: a prospective study. Chest 1999; 116: 1168–1174

    Article  CAS  PubMed  Google Scholar 

  14. Wells AU. Antioxidant therapy in idiopathic pulmonary fibrosis: Hope is kindled. Eur Respir J 2006; 27: 664–666

    Article  CAS  PubMed  Google Scholar 

  15. Selman M, Navarro C, Gaxiola M. Idiopathic pulmonary fibrosis: In search of an effective treatment. Arch Bronconeumol 2005; 41 (Suppl. 5): 15–20

    PubMed  Google Scholar 

  16. Walter N, Collard HR, King TE. Current perspectives on the treatment of idiopathic pulmonary fibrosis. Proc Am Thorac Soc 2006; 3: 330–338

    Article  CAS  PubMed  Google Scholar 

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© 2008 Humana Press, a part of Springer Science+Business Media, LLC

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Xaubet, A., Molina-Molina, M., Serrano-Mollar, A. (2008). Idiopathic Interstitial Pneumonias. In: Shoenfeld, Y., Cervera, R., Gershwin, M.E. (eds) Diagnostic Criteria in Autoimmune Diseases. Humana Press. https://doi.org/10.1007/978-1-60327-285-8_71

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