特发性间质性肺炎:美国胸科学会/欧洲呼吸学会最新分类综述

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

作者信息

Oliveira Daniel Simões, Araújo Filho José de Arimatéia, Paiva Antonio Fernando Lins, Ikari Eduardo Seigo, Chate Rodrigo Caruso, Nomura César Higa

机构信息

Instituto do Coração do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (InCor/HC-FMUSP), São Paulo, SP, Brazil.

出版信息

Radiol Bras. 2018 Sep-Oct;51(5):321-327. doi: 10.1590/0100-3984.2016.0134.

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.

摘要

特发性间质性肺炎(IIP)的诊断涉及多学科情况,其中放射科医生起着关键作用。美国胸科学会/欧洲呼吸学会对IIP分类的最新(2013年)更新对2002年的原始分类提出了一些重要更改。新内容包括增加了一种新疾病(特发性胸膜肺实质纤维弹性组织增生症),并将IIP分为四个主要组:慢性纤维化IIP(特发性肺纤维化和非特异性间质性肺炎);吸烟相关的IIP(脱屑性间质性肺炎和呼吸性细支气管炎相关的间质性肺疾病);急性或亚急性IIP(隐源性机化性肺炎和急性间质性肺炎);罕见的IIP(淋巴细胞间质性肺炎和特发性胸膜肺实质纤维弹性组织增生症);以及所谓的“无法分类的”IIP。在本研究中,我们回顾了每种IIP的主要临床、断层扫描和病理特征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4280/6198836/656ef84e6583/rb-51-05-0321-g01.jpg

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