Computed tomography findings of current nonspecific interstitial pneumonia based on the 2013 updated classification of idiopathic interstitial pneumonias: What is a characteristic of previously diagnosed nonspecific interstitial pneumonia excluded from the updated classification

2020 ◽  
Author(s):  
Junya Tominaga ◽  
◽  
Tae Iwasawa ◽  
Makiko Murota ◽  
Hiroaki Arakawa ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Interstitial Pneumonia ◽  
Idiopathic Interstitial Pneumonias ◽  
Nonspecific Interstitial Pneumonia

scholarly journals Idiopathic interstitial pneumonias: review of the latest American Thoracic Society/European Respiratory Society classification

2018 ◽  
Vol 51 (5) ◽  
pp. 321-327 ◽  
Author(s):  
Daniel Simões Oliveira ◽  
José de Arimatéia Araújo Filho ◽  
Antonio Fernando Lins Paiva ◽  
Eduardo Seigo Ikari ◽  
Rodrigo Caruso Chate ◽  
...  
Keyword(s):  
Interstitial Pneumonia ◽  
American Thoracic Society ◽  
European Respiratory Society ◽  
Cryptogenic Organizing Pneumonia ◽  
Pleuroparenchymal Fibroelastosis ◽  
Idiopathic Interstitial Pneumonias ◽  
Acute Interstitial Pneumonia ◽  
Nonspecific Interstitial Pneumonia ◽  
Original Classification

Abstract The diagnosis of idiopathic interstitial pneumonias (IIPs) involves a multidisciplinary scenario in which the radiologist assumes a key role. The latest (2013) update of the IIP classification by the American Thoracic Society/European Respiratory Society proposed some important changes to the original classification of 2002. The novelties include the addition of a new disease (idiopathic pleuroparenchymal fibroelastosis) and the subdivision of the IIPs into four main groups: chronic fibrosing IIPs (idiopathic pulmonary fibrosis and nonspecific interstitial pneumonia); smoking-related IIPs (desquamative interstitial pneumonia and respiratory bronchiolitis-associated interstitial lung disease); acute or subacute IIPs (cryptogenic organizing pneumonia and acute interstitial pneumonia); rare IIPs (lymphoid interstitial pneumonia and idiopathic pleuroparenchymal fibroelastosis); and the so-called “unclassifiable” IIPs. In this study, we review the main clinical, tomographic, and pathological characteristics of each IIP.

scholarly journals Tomography patterns of lung disease in systemic sclerosis

2016 ◽  
Vol 49 (5) ◽  
pp. 316-321 ◽  
Author(s):  
Andréa de Lima Bastos ◽  
Ricardo de Amorim Corrêa ◽  
Gilda Aparecida Ferreira
Keyword(s):  
Computed Tomography ◽  
Systemic Sclerosis ◽  
Pulmonary Involvement ◽  
High Resolution Computed Tomography ◽  
Clinical Presentations ◽  
Nonspecific Interstitial Pneumonia ◽  
Pulmonary Changes ◽  
Treatment Responses ◽  
Lung Impairment

Abstract Currently, lung impairment is the leading factor responsible for the morbidity and mortality associated with systemic sclerosis. Therefore, the recognition of the various tomography patterns becomes decisive in the clinical management of these patients. In high-resolution computed tomography studies, the most common pattern is that of nonspecific interstitial pneumonia. However, there are other forms of lung involvement that must also be recognized. The aim of this study was to review the literature on the main changes resulting from pulmonary involvement in systemic sclerosis and the corresponding radiological findings, considering the current classification of interstitial diseases. We searched the Medline (PubMed), Lilacs, and SciELO databases in order to select articles related to pulmonary changes in systemic sclerosis and published in English between 2000 and 2015. The pulmonary changes seen on computed tomography in systemic sclerosis are varied and are divided into three main categories: interstitial, alveolar, and vascular. Interstitial changes constitute the most common type of pulmonary involvement in systemic sclerosis. However, alveolar and vascular manifestations must also be recognized and considered in the presence of atypical clinical presentations and inadequate treatment responses.

scholarly journals Pathology of Idiopathic Interstitial Pneumonias

2015 ◽  
Vol 9s1 ◽  
pp. CCRPM.S23320 ◽  
Author(s):  
Mikiko Hashisako ◽  
Junya Fukuoka
Keyword(s):  
Interstitial Pneumonia ◽  
American Thoracic Society ◽  
Organizing Pneumonia ◽  
European Respiratory Society ◽  
Pleuroparenchymal Fibroelastosis ◽  
Idiopathic Interstitial Pneumonias ◽  
Areas Of Concern ◽  
Histopathologic Features

The updated classification of idiopathic interstitial pneumonias (IIPs) in 2013 by American Thoracic Society/European Respiratory Society included several important revisions to the categories described in the 2002 classification. In the updated classification, lymphoid interstitial pneumonia (LIP) was moved from major to rare IIPs, pleuroparenchymal fibroelastosis (PPFE) was newly included in the rare IIPs, acute fibrinous and organizing pneumonia (AFOP) and interstitial pneumonias with a bronchiolocentric distribution are recognized as rare histologic patterns, and unclassifiable IIP (UCIP) was classified as an IIP. However, recent reports indicate the areas of concern that may require further evaluation. Here, we describe the histopathologic features of the updated IIPs and their rare histologic patterns and also point out some of the issues to be considered in this context.

Idiopathic Interstitial Pneumonias

Chest Imaging ◽  
2019 ◽  
pp. 449-451
Author(s):  
Sanjeev Bhalla
Keyword(s):  
Interstitial Pneumonia ◽  
Usual Interstitial Pneumonia ◽  
American Thoracic Society ◽  
European Respiratory Society ◽  
Cryptogenic Organizing Pneumonia ◽  
Idiopathic Interstitial Pneumonias ◽  
Acute Interstitial Pneumonia ◽  
Nonspecific Interstitial Pneumonia ◽  
Diffuse Lung Diseases ◽  
Diffuse Lung

The idiopathic interstitial pneumonias (IIPs) are a group of diffuse lung diseases that often manifest clinically with increasing dyspnea and hypoxemia. In the most recent revision of the American Thoracic Society/European Respiratory Society statement on IIPs, the major IIPs are divided into 3 groups: chronic fibrosing conditions (usual interstitial pneumonia and nonspecific interstitial pneumonia); smoking-related conditions (respiratory bronchiolitis and desquamative interstitial pneumonia) and acute/subacute IIPs (cryptogenic organizing pneumonia and acute interstitial pneumonia). Although some of these patterns may be seen with other conditions (e.g, NSIP with collagen vascular disease), the term IIP only refers to the idiopathic variants. Interestingly, the smoking-related conditions (RB-ILD and DIP) are included in this idiopathic grouping despite their association with cigarette use.

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