Idiopathic pulmonary fibrosis historical perspective

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ahmed Elsaiey, MBBCH [2]

Historical Perspective

Discovery

• In 1872, Von Buhl reported pulmonary histologic findings which included infiltration of the lung with fibroblasts and excessive connective tissue. Dr. Von buhl reported this cases as a desquamative pneumonia due to desquamation of the alveolar and bronchiolar epithelium. Dr. Von buhl also used the term chronic interstitial pneumonia for the chronic cases and he assumed the cause to be tuberculosis or syphilis.
• In 1898, Dr. Rindfleisch reported a case of a 40 year old man who presented with worsening cough and dyspnea which are related to idiopathic pulmonary fibrosis. Dr. Rindfleisch described a a small stiffed lungs and hypertrophied right ventricles. The lungs contained dense fibrous tissues with round cells. Dr. Rindfleisch used the term "Cirrhosis cystica pulmonum" for this case at that time.
• In 1907, Dr. Sandoz reported a case in twin sisters who presented also with worsening cough and dyspnea. Both cases had a hypertrophic right ventricle and small lungs with thickened bronchioli and dense interstitial tissue. Dr. Sandoz named this case as "Fetal bronchiectasis".
• In 1912, Dr. von Hansemann reported five cases with lung interstitial abnormalities in the histologic examination. Dr. von Hansemann named those cases as "lymphangitis reticularis pulmonum" .