Diagnosis of Idiopathic Pulmonary Fibrosis: Differential Diagnosis

Idiopathic pulmonary fibrosis (IPF) is a chronic, progressive, and fibrotic interstitial lung disease of unknown origin with a characteristic imaging and histologic pattern called usual interstitial pneumonia (UIP). The diagnosis of IPF is a complex procedure that requires the support of various spe...

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Main Authors: Myriam Aburto, Inmaculada Herráez, David Iturbe, Ana Jiménez-Romero
Format: Article
Language:English
Published: MDPI AG 2018-09-01
Series:Medical Sciences
Subjects:
Online Access:http://www.mdpi.com/2076-3271/6/3/73
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author Myriam Aburto
Inmaculada Herráez
David Iturbe
Ana Jiménez-Romero
author_facet Myriam Aburto
Inmaculada Herráez
David Iturbe
Ana Jiménez-Romero
author_sort Myriam Aburto
collection DOAJ
description Idiopathic pulmonary fibrosis (IPF) is a chronic, progressive, and fibrotic interstitial lung disease of unknown origin with a characteristic imaging and histologic pattern called usual interstitial pneumonia (UIP). The diagnosis of IPF is a complex procedure that requires the support of various specialists, who must integrate clinical, radiological, and histological data. The multidisciplinary team (MDT) has become the new gold standard to diagnose and manage the disease, increasing the accuracy and agreement of the diagnosis between different centers. It is mandatory to exclude nonspecific interstitial pneumonia or other diseases that can cause the UIP pattern, particularly drugs or exposure diseases, including chronic hypersensitivity pneumonitis or systemic autoimmune disease. The role of the MDT is also to decide who could need a biopsy or to review patient diagnoses at regular intervals in those with additional information or unexpected evolution. This review provides updated information to achieve a proper IPF diagnosis.
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spelling doaj.art-14cf2a533de54f3281da4405645dddaa2022-12-21T18:37:57ZengMDPI AGMedical Sciences2076-32712018-09-01637310.3390/medsci6030073medsci6030073Diagnosis of Idiopathic Pulmonary Fibrosis: Differential DiagnosisMyriam Aburto0Inmaculada Herráez1David Iturbe2Ana Jiménez-Romero3Department of Respiratory Medicine, Galdakao Hospital, 48960 Galdako, SpainDepartment of Radiology, University Hospital of León, 24071 León, SpainDepartment of Respiratory Medicine, Marques de Valdecilla University Hospital, 39008 Santander, SpainDepartment of Respiratory Medicine, El Bierzo Hospital, 24404 Ponferrada, SpainIdiopathic pulmonary fibrosis (IPF) is a chronic, progressive, and fibrotic interstitial lung disease of unknown origin with a characteristic imaging and histologic pattern called usual interstitial pneumonia (UIP). The diagnosis of IPF is a complex procedure that requires the support of various specialists, who must integrate clinical, radiological, and histological data. The multidisciplinary team (MDT) has become the new gold standard to diagnose and manage the disease, increasing the accuracy and agreement of the diagnosis between different centers. It is mandatory to exclude nonspecific interstitial pneumonia or other diseases that can cause the UIP pattern, particularly drugs or exposure diseases, including chronic hypersensitivity pneumonitis or systemic autoimmune disease. The role of the MDT is also to decide who could need a biopsy or to review patient diagnoses at regular intervals in those with additional information or unexpected evolution. This review provides updated information to achieve a proper IPF diagnosis.http://www.mdpi.com/2076-3271/6/3/73idiopathic pulmonary fibrosis lower caseusual interstitial pneumoniaeidiopathic interstitial pneumoniasurgical lung biopsytransbronchial cryobiopsydiagnosishigh-resolution computed tomographymultidisciplinary team
spellingShingle Myriam Aburto
Inmaculada Herráez
David Iturbe
Ana Jiménez-Romero
Diagnosis of Idiopathic Pulmonary Fibrosis: Differential Diagnosis
Medical Sciences
idiopathic pulmonary fibrosis lower case
usual interstitial pneumoniae
idiopathic interstitial pneumonia
surgical lung biopsy
transbronchial cryobiopsy
diagnosis
high-resolution computed tomography
multidisciplinary team
title Diagnosis of Idiopathic Pulmonary Fibrosis: Differential Diagnosis
title_full Diagnosis of Idiopathic Pulmonary Fibrosis: Differential Diagnosis
title_fullStr Diagnosis of Idiopathic Pulmonary Fibrosis: Differential Diagnosis
title_full_unstemmed Diagnosis of Idiopathic Pulmonary Fibrosis: Differential Diagnosis
title_short Diagnosis of Idiopathic Pulmonary Fibrosis: Differential Diagnosis
title_sort diagnosis of idiopathic pulmonary fibrosis differential diagnosis
topic idiopathic pulmonary fibrosis lower case
usual interstitial pneumoniae
idiopathic interstitial pneumonia
surgical lung biopsy
transbronchial cryobiopsy
diagnosis
high-resolution computed tomography
multidisciplinary team
url http://www.mdpi.com/2076-3271/6/3/73
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