Division of Occupational and Environmental Medicine, Icahn School of Medicine at Mount Sinai, NewYork, NY, USA.
Departments of Medicine and Community Health Sciences, University of Calgary, Calgary, AB, Canada.
Arch Environ Occup Health. 2023;78(4):232-235. doi: 10.1080/19338244.2023.2166007. Epub 2023 Jan 12.
Interstitial lung diseases (ILDs) are a diverse set of related conditions with multiple etiologies, in addition to a group where the cause is unknown. There is concern for a potential association of WTC-related exposures with ILD, but the disease range has not differed from what is observed in the general population, and active investigations to study that association are ongoing. Although these diseases are very diverse, some are extremely rare, and they often are disabling and have a poor prognosis, evidence-based guidelines for their diagnosis, management and long-term monitoring have emerged and will evolve as knowledge and therapeutic options increase. This brief article summarizes pertinent issues of diagnosis and management of ILDs, applicable to the diverse group of ILDs that have been observed in the WTC Health Program covered population.
间质性肺疾病(ILDs)是一组病因多样的相关疾病,此外还有一组病因不明。人们担心与 WTC 相关的暴露可能与ILD 有关,但疾病范围与在一般人群中观察到的没有不同,目前正在积极开展研究该关联的工作。尽管这些疾病非常多样化,有些非常罕见,但它们常常使人丧失能力且预后不良,目前已经出现了针对这些疾病的诊断、管理和长期监测的循证指南,并且随着知识和治疗选择的增加,这些指南将不断发展。本文简要总结了ILDs 的诊断和管理的相关问题,适用于 WTC 健康计划所涵盖人群中观察到的ILDs 的各种类型。