Velcro crackles: the key for early diagnosis of idiopathic pulmonary fibrosis?

Cottin, Vincent; Cordier, Jean-François

doi:10.1183/09031936.00001612

Cited by 107 publications

(72 citation statements)

References 33 publications

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“…A large number of AIR respondents suspected IPF through hearing velcro crackles on auscultation, which supports increasing awareness of the role of crackles with other healthcare professionals to aid earlier diagnosis [10].…”

Section: Discussionmentioning

confidence: 99%

Current approaches to the diagnosis and treatment of idiopathic pulmonary fibrosis in Europe: the AIR survey

Cottin

2014

Eur Respir Rev

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This review presents the results of the 2013 Advancing IPF Research (AIR) survey, which assessed current approaches to the diagnosis and treatment of idiopathic pulmonary fibrosis (IPF) by experienced physicians. A total of 149 physicians, predominantly from European countries, replied to the 28-question survey. The results of the AIR survey were compared with a similar survey of 509 French pulmonologists conducted by the French National Reference Centre and the Network of Regional Competence Centres for Rare Lung Diseases.A number of positive findings emerged from the AIR survey, including the high level of multidisciplinary team involvement in both diagnosis and management. This survey, when taken together with the French survey, suggests that there is still a need to improve earlier diagnosis of IPF. @ERSpublications Survey on IPF in Europe reveals need to improve early diagnosis and management

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Section: Discussionmentioning

confidence: 99%

Current approaches to the diagnosis and treatment of idiopathic pulmonary fibrosis in Europe: the AIR survey

Cottin

2014

Eur Respir Rev

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“…This places HRCT of the lung in a position of prominence [29] in order to identify patients exhibiting interstitial pulmonary alterations following a possible or established UIP pattern. Algorithms for screening an IPF -a combination of clinical signs (e. g. auscultatory crepitation, persistent cough, dyspnea) and HRCT-are currently the subject of prospective studies [26,30]. In secondary analyses of large-scale lung cancer screening programs, such as the American National Lung Screening Trial (NLST), using an age cohort of 55 to 74-year-olds, it has been shown that interstitial, non-nodular changes occur in about 10 % of cases, whereas non-fibrotic changes appear in approx.…”

Section: Interstitial Lung Abnormalities -Incidental Findings Withoutmentioning

confidence: 99%

The Aging Lung: Clinical and Imaging Findings and the Fringe of Physiological State

Schröder

Storbeck

Rabe

et al. 2015

Fortschr Röntgenstr

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Since aspects of demographic transition have become an essential part of socioeconomic, medical and health-care research in the last decades, it is vital for the radiologist to discriminate between normal ageing related effects and abnormal imaging findings in the elderly. This article reviews functional and structural aspects of the ageing lung and focuses on typical ageing related radiological patterns. Key points: ??The physiological aging process of the thoracic organs shows typical structural and functional aspects. ??Mild interstitial fibrosis and focal parenchymal abnormalities like septal thickening can be diagnosed frequently ? whereas a clinical correlate is often lacking. ??With increasing patient age, the influence by various intrinsic and extrinsic factors (including comorbidities of the patient, and drug inhalation toxicants) also increases. ??A growing spectrum of imaging techniques (including functional cardiopulmonary MRI, MRI spectroscopy, hybrid-techniques) is confronted by rare empiric data in the very old people (aging 80 years and older). Citation Format: ??Schr?der TH, Storbeck B, Rabe KF. et?al. The Aging Lung: Clinical and Imaging Findings and the Fringe of Physiological State. Fortschr R?ntgenstr 2015; 187: 430???439

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“…These include challenges in the diagnosis of IPF, such as the possibility of earlier diagnosis through auscultation for characteristic ''velcro'' crackles by general practitioners and issues in diagnosing IPF on HRCT [11]. The use of a MDT in such situations may overcome some of the problems related to ILD diagnosis.…”

Section: Commentarymentioning

confidence: 99%