Enfermedad pulmonar intersticial difusa

Iribarnegaray, Juan Margallo; Arróspide, María Churruca; López, Cristina Matesanz; Rojo, Ricardo

doi:10.1016/j.opresp.2023.100248

Cited by 1 publication

(3 citation statements)

References 39 publications

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“…AIP shares similar HRCT scan features with ARDS, including a combination of mixed consolidative alveolar and GGOs with marked intralobular, and/or perilobular interstitial thickening resulting in a "crazy paving" pattern; unilateral or bilateral pleural effusion can be present [213]. iLIP is a very rare condition characterized by the middle and lower lobe predominance of ground glass opacities, thickened bronchovascular bundles, and some perilymphatic nodules; thinwalled lung cysts may concur in up to 68% of cases [213]. iPPFE is associated with irregular apex pleural thickening with upper lobe volume loss and significant architecture distortion; the anteroposterior flattening of the chest-platy thorax-may co-occur [214].…”

Section: Clinico-radiological and Prognostic Featuresmentioning

confidence: 92%

“…In RB-ILD, the HRCT shows poorly formed centrolobular nodules with upper lobe predominance and the thickening of the bronchial walls. DIP usually presents a lower lobe-predominant ILD characterized by diffuse GGOs and signs of distortion in lung architecture such as traction bronchiectasis and lung cysts (resulting from dilated bronchioles or alveolar ducts); honeycombing is infrequent [213]. AIP shares similar HRCT scan features with ARDS, including a combination of mixed consolidative alveolar and GGOs with marked intralobular, and/or perilobular interstitial thickening resulting in a "crazy paving" pattern; unilateral or bilateral pleural effusion can be present [213].…”

Section: Clinico-radiological and Prognostic Featuresmentioning

confidence: 99%

“…DIP usually presents a lower lobe-predominant ILD characterized by diffuse GGOs and signs of distortion in lung architecture such as traction bronchiectasis and lung cysts (resulting from dilated bronchioles or alveolar ducts); honeycombing is infrequent [213]. AIP shares similar HRCT scan features with ARDS, including a combination of mixed consolidative alveolar and GGOs with marked intralobular, and/or perilobular interstitial thickening resulting in a "crazy paving" pattern; unilateral or bilateral pleural effusion can be present [213]. iLIP is a very rare condition characterized by the middle and lower lobe predominance of ground glass opacities, thickened bronchovascular bundles, and some perilymphatic nodules; thinwalled lung cysts may concur in up to 68% of cases [213].…”

Section: Clinico-radiological and Prognostic Featuresmentioning

confidence: 99%

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Multidisciplinary Approach to the Diagnosis of Idiopathic Interstitial Pneumonias: Focus on the Pathologist’s Key Role

Lucà,

Pagliuca,

Perrotta

et al. 2024

IJMS

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Idiopathic Interstitial Pneumonias (IIPs) are a heterogeneous group of the broader category of Interstitial Lung Diseases (ILDs), pathologically characterized by the distortion of lung parenchyma by interstitial inflammation and/or fibrosis. The American Thoracic Society (ATS)/European Respiratory Society (ERS) international multidisciplinary consensus classification of the IIPs was published in 2002 and then updated in 2013, with the authors emphasizing the need for a multidisciplinary approach to the diagnosis of IIPs. The histological evaluation of IIPs is challenging, and different types of IIPs are classically associated with specific histopathological patterns. However, morphological overlaps can be observed, and the same histopathological features can be seen in totally different clinical settings. Therefore, the pathologist’s aim is to recognize the pathologic–morphologic pattern of disease in this clinical setting, and only after multi-disciplinary evaluation, if there is concordance between clinical and radiological findings, a definitive diagnosis of specific IIP can be established, allowing the optimal clinical–therapeutic management of the patient.

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Section: Clinico-radiological and Prognostic Featuresmentioning

confidence: 92%

Section: Clinico-radiological and Prognostic Featuresmentioning

confidence: 99%