THE IMPACT OF THE NEW CLASSIFICATION OF IDIOPATHIC INTERSTITIAL PNEUMONIAS ON CLINICAL PRACTICE

Authors

  • Ema Mušič Klinični oddelek za pljučne bolezni in alergijo Bolnišnica Golnik Golnik 4204
  • Izidor Kern Klinični oddelek za pljučne bolezni in alergijo Bolnišnica Golnik Golnik 4204

Keywords:

interstitial lung diseases, classification, criteria

Abstract

Background. New pathologic classification of interstitial pulmonary diseases of unknown etiology from 1998 enables better clinical approach to these diseases already in their early stages. As a result, key parameters for treatment choice and prognosis are easier to summarise.

Conclusions. The article presents the basis for new pathologic classification and its role in clinical practice. In addition, the lastest international multidisciplinary consensus of pathological/clinical classification of ihese diseases, having been edited by American Thoracic Society and European Thoracic Society in June 2001, is presented. Every individual entity is illustrated with corresponding histologic pattern of our recently hospitalised typical cases. Finaly, some new therapeutic approaches are introducted which are oriented to actual immunopathogenetic stage of interstitial pulmonary disease.

Downloads

Download data is not yet available.

References

Liebow AA, Carrington CB. The interstitial pneumonias. In: Simon M, Potchen EJ, LeMay M eds. Frontiers of pulmonary radiology. New York: Grune and Stratton, 1969: 102–41.

Katzenstein ALA, Myers JL. Idiopathic pulmonary fibrosis. Clinical relevance of pathologic classification. Am J Respir Crit Care Med 1998; 157: 1301– 15.

Costabel U. Die neue Klassifikation der idiopathischen interstitiellen Pneumonien. Pneumologie 2000; 54: 447–53.

American Thoracic Society / European Respiratory Society. International multidisciplinary consensus classification of the idiopathic interstitial pneumonias. Am J Respir Crit Care Med 2002; 165: 277–304.

King TE, Costabel U, Cordier JF, doPico GA, du Bois RM, Lynch D et al. Idiopathic pulmonary fibrosis: Diagnosis and treatment. Am J Crit Care Med 2000; 161: 646–64.

Nagai S, Kitaichi M, Itoh H, Nishimura K, Izumi T, Colby TV. Idiopathic nonspecific interstitial pneumonia/fibrosis: comparisson with idiopathic pulmonary fibrosis and BOOP. Eur Respir J 1998; 12: 1010–9.

Katzenstein ALA, Fiorelli RF. Nonspecific interstitial pneumonia/fibrosis. Histologic features and clinical significance. Am J Surg Pathol 1994; 18: 136– 47.

Flacherty KV, Travis WD, Toews GB, Kazerooni EA, Gross BH, Jain A et al. Histopathologic variability in usual and nonspecific interstitial pneumonias. Am J Crit Care Med 2001; 164: 1722–7.

Lohr RH, Boland BJ, Douglas WW, Dekrell DH, Colby TV, Swensen SJ et al. Organizing pneumonia, features and prognosis of cryptogenic, secondary, and focal variants. Arch Intern Med 1997; 157: 1323–9.

Yousem SA, Colby TV, Gaensler EA. Respiratory bronchiolitis-associated interstitial lung disease and its relationship to desquamative interstitial pneumonia. Mayo Clin Proc 1989; 64: 1373–80.

Du Bois RM, Wells AU. Cryptogenic fibrosing alveolitis/idiopathic pulmonary fibrosis. Eur Respir J 2001; 18: Suppl 32: 43s–55s.

Mušič E, Osolnik K. New clinical approaches to interstitial lung diseases. Zbornik prispevkov. 2. Slovenski pnevmološki in alergološki kongres z mednarodno udeležbo. Portorož, 16.–18. november 2000. Golnik: Združenje pnevmologov, 2000: 43–8.

How to Cite

1.
THE IMPACT OF THE NEW CLASSIFICATION OF IDIOPATHIC INTERSTITIAL PNEUMONIAS ON CLINICAL PRACTICE. ZdravVestn [Internet]. 2002 Sep. 12 [cited 2024 Nov. 2];71(9). Available from: https://vestnik.szd.si/index.php/ZdravVest/article/view/1631

Most read articles by the same author(s)

<< < 1 2 3 > >>