Idiopathic pulmonary fibrosis: diagnostic pitfalls and therapeutic challenges

<p>Abstract</p> <p>Idiopathic pulmonary fibrosis (IPF), the most common of the idiopathic interstitial pneumonias, is a devastating condition that carries a prognosis worse than that of many cancers. As such, it represents one of the most challenging diseases for chest physicians....

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Main Authors: Spagnolo Paolo, Tonelli Roberto, Cocconcelli Elisabetta, Stefani Alessandro, Richeldi Luca
Format: Article
Language:English
Published: PAGEPress Publications 2012-11-01
Series:Multidisciplinary Respiratory Medicine
Subjects:
Online Access:http://www.mrmjournal.com/content/7/1/42
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author Spagnolo Paolo
Tonelli Roberto
Cocconcelli Elisabetta
Stefani Alessandro
Richeldi Luca
author_facet Spagnolo Paolo
Tonelli Roberto
Cocconcelli Elisabetta
Stefani Alessandro
Richeldi Luca
author_sort Spagnolo Paolo
collection DOAJ
description <p>Abstract</p> <p>Idiopathic pulmonary fibrosis (IPF), the most common of the idiopathic interstitial pneumonias, is a devastating condition that carries a prognosis worse than that of many cancers. As such, it represents one of the most challenging diseases for chest physicians. The diagnostic process is complex and relies on the clinician integrating clinical, laboratory, radiologic, and/or pathologic data. Therefore, a close collaboration between chest physicians, radiologists, and pathologists experienced in the diagnosis of interstitial lung diseases (ILDs) is necessary in order to minimize diagnostic uncertainty. Similarly, the management of IPF continues to pose major difficulties. However, while there are no proven effective therapies for IPF beyond lung transplantation, recent trials of novel agents suggest that pharmacological treatment may retard the progression of the disease. In this regard, enrolment of patients into clinical trials is considered the “best current practice”by the most recent guidelines as it offers IPF patients the chance to receive new agents that may be more effective than current therapies. A more recent trend focusing on improving quality of life in IPF patients has also been gaining ground.</p> <p>The diagnosis and management of IPF remains a constant challenge for even the most experienced of clinicians. However, a multidisciplinary approach to this complex disease is steadily improving diagnostic accuracy, while recent advances in the pharmacological therapy offer the genuine promise of future treatments for this devastating disease.</p>
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spelling doaj.art-91aeebe7d344474ebff1096b83a5f0cc2024-03-02T20:18:28ZengPAGEPress PublicationsMultidisciplinary Respiratory Medicine2049-69582012-11-01714210.1186/2049-6958-7-42Idiopathic pulmonary fibrosis: diagnostic pitfalls and therapeutic challengesSpagnolo PaoloTonelli RobertoCocconcelli ElisabettaStefani AlessandroRicheldi Luca<p>Abstract</p> <p>Idiopathic pulmonary fibrosis (IPF), the most common of the idiopathic interstitial pneumonias, is a devastating condition that carries a prognosis worse than that of many cancers. As such, it represents one of the most challenging diseases for chest physicians. The diagnostic process is complex and relies on the clinician integrating clinical, laboratory, radiologic, and/or pathologic data. Therefore, a close collaboration between chest physicians, radiologists, and pathologists experienced in the diagnosis of interstitial lung diseases (ILDs) is necessary in order to minimize diagnostic uncertainty. Similarly, the management of IPF continues to pose major difficulties. However, while there are no proven effective therapies for IPF beyond lung transplantation, recent trials of novel agents suggest that pharmacological treatment may retard the progression of the disease. In this regard, enrolment of patients into clinical trials is considered the “best current practice”by the most recent guidelines as it offers IPF patients the chance to receive new agents that may be more effective than current therapies. A more recent trend focusing on improving quality of life in IPF patients has also been gaining ground.</p> <p>The diagnosis and management of IPF remains a constant challenge for even the most experienced of clinicians. However, a multidisciplinary approach to this complex disease is steadily improving diagnostic accuracy, while recent advances in the pharmacological therapy offer the genuine promise of future treatments for this devastating disease.</p>http://www.mrmjournal.com/content/7/1/42Clinical trialsIdiopathic pulmonary fibrosisInterstitial lung diseasePulmonary fibrosisTreatment
spellingShingle Spagnolo Paolo
Tonelli Roberto
Cocconcelli Elisabetta
Stefani Alessandro
Richeldi Luca
Idiopathic pulmonary fibrosis: diagnostic pitfalls and therapeutic challenges
Multidisciplinary Respiratory Medicine
Clinical trials
Idiopathic pulmonary fibrosis
Interstitial lung disease
Pulmonary fibrosis
Treatment
title Idiopathic pulmonary fibrosis: diagnostic pitfalls and therapeutic challenges
title_full Idiopathic pulmonary fibrosis: diagnostic pitfalls and therapeutic challenges
title_fullStr Idiopathic pulmonary fibrosis: diagnostic pitfalls and therapeutic challenges
title_full_unstemmed Idiopathic pulmonary fibrosis: diagnostic pitfalls and therapeutic challenges
title_short Idiopathic pulmonary fibrosis: diagnostic pitfalls and therapeutic challenges
title_sort idiopathic pulmonary fibrosis diagnostic pitfalls and therapeutic challenges
topic Clinical trials
Idiopathic pulmonary fibrosis
Interstitial lung disease
Pulmonary fibrosis
Treatment
url http://www.mrmjournal.com/content/7/1/42
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AT cocconcellielisabetta idiopathicpulmonaryfibrosisdiagnosticpitfallsandtherapeuticchallenges
AT stefanialessandro idiopathicpulmonaryfibrosisdiagnosticpitfallsandtherapeuticchallenges
AT richeldiluca idiopathicpulmonaryfibrosisdiagnosticpitfallsandtherapeuticchallenges