Idiopathic interstitial pneumonia classification
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ahmed Zaghw, M.D. [2]; Chetan Lokhande, M.B.B.S [3]
Overview
A idiopathic interstitial pneumonias (IIPs) classification faced difficulties as the disease behavior is overlapping which makes it difficult to classify from other pulmonary diseases of heterogenous clinical course. However the ATS/ERS Classification of 2002 defined seven specific entities provided standardized terminology and diagnostic criteria.Later, many publications General changes have been adopted in the 2007 Statement update by American Thoracic Society/European Respiratory Society.
2013 Revised ATS/ERC Classification of Idiopathic Interstitial Pneumonias: Multidisciplinary Diagnoses
Major idiopathic interstitial pneumonias
- Idiopathic pulmonary fibrosis
- Idiopathic nonspecific interstitial pneumonia
- Respiratory bronchiolitis-interstitial lung disease
- Desquamative interstitial pneumonia
- Cryptogenic organizing pneumonia
- Acute interstitial pneumonia
Rare idiopathic interstitial pneumonias
- Idiopathic lymphoid interstitial pneumonia
- Idiopathic pleuroparenchymal fibroelastosis
Unclassifiable idiopathic interstitial pneumonias
- Inadequate clinical, radiologic, or pathologic data
- Major discordance between clinical, radiologic, and pathologic findings that may occur in the following situations
- Previous therapy resulting in substantial alteration of radiologic or histologic findings (e.g., biopsy of desquamative interstitial pneumonia after steroid therapy, which shows only residual nonspecific interstitial pneumonia.
- New entity, or unusual variant of recognized entity, not adequately characterized by the current American Thoracic Society/European Respiratory Society classification (e.g., variant of organizing pneumonia with supervening fibrosis).
- Multiple high-resolution computed tomography and/or pathologic patterns that may be encountered in patients with idiopathic interstitial pneumonia.[1]
References
- ↑ Travis, WD.; Costabel, U.; Hansell, DM.; King, TE.; Lynch, DA.; Nicholson, AG.; Ryerson, CJ.; Ryu, JH.; Selman, M. (2013). "An official American Thoracic Society/European Respiratory Society statement: Update of the international multidisciplinary classification of the idiopathic interstitial pneumonias". Am J Respir Crit Care Med. 188 (6): 733–48. doi:10.1164/rccm.201308-1483ST. PMID 24032382. Unknown parameter
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