Idiopathic interstitial pneumonia classification

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

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

  1. 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 |month= ignored (help)


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