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 steps have been going through difficulties as the disease behavior is overlapping with proposed for patients who are difficult to classify or for entities with heterogeneity in 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

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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