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Interstitial Lung Disease, An Issue of Clinics in Chest Medicine - E-Book

Interstitial Lung Disease, An Issue of Clinics in Chest Medicine - E-Book

Talmadge E King | Harold R Collard | Luca Richeldi

(2012)

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Book Details

Abstract

The guest editors for this issue, Talmadge King, Harold Collard, celebrated pulmonary specialists from UCSF, and Luca Richeldi, renowned visiting professor to UCSF from University of Modena, Italy, bring together a state-of-the-art issue on the important topic of Interstitial Lung Diseases (ILD).  This comprehensive issue reviews the approach to diagnosis of ILD, radiology if ILD, pathology of ILD.  Idiopathic pulmonary fibrosis is discussed, including phenotypes and comorbidities, acute exacerbation and accelerated decline, management, and pathobiology of novel approaches to therapy.  Connective Tissue ILD, Chronic Hypersensitivity Pneumonitis, familial ILD and smoking-related ILD, and non-specific interstitial pneumonia are reviewed.  In the final article, lung transplantation is discussed.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Clinics in Chest Medicine i
Copyright Page ii
Table of Contents vii
Contributors iii
Clinics in Chest Medicine xi
Preface xiii
Chapter 1. Approach to the Diagnosis of Interstitial Lung Disease 1
CLINICAL EVALUATION 1
PHYSICAL EXAMINATION 3
LABORATORY TESTING 4
PULMONARY FUNCTION TESTING 4
RADIOLOGIC ASSESSMENT 5
BRONCHOSCOPY 5
SURGICAL LUNG BIOPSY 7
ASSESSMENT OF PH 7
DIAGNOSTIC ALGORITHM 9
CLASSIFICATION OF DISEASE BEHAVIOR 9
REFERENCES 9
Chapter 2. Radiological Approach to Interstitial Lung Disease: A Guide for the Nonradiologist 11
BASIC ARCHITECTURE OF THE LUNG INTERSTITIUM 11
APPROACH TO HRCT 11
INCREASED ATTENUATION 12
DECREASED ATTENUATION 13
SPECIFIC DISEASES 14
IDIOPATHIC INTERSTITIAL PNEUMONIAS 16
COLLAGEN VASCULAR DISEASES 22
SUMMARY 24
REFERENCES 24
Chapter 3. Histopathologic Approach to the Surgical Lung Biopsy in Interstitial Lung Disease 27
WHAT DOES NORMAL LOOK LIKE 27
IS THIS ACUTE LUNG INJURY 28
IS THERE FIBROSIS 29
IS THIS USUAL INTERSTITIAL PNEUMONIA 29
IS THIS NONSPECIFIC INTERSTITIAL PNEUMONIA 32
IS THE FIBROSIS BRONCHIOLOCENTRIC 33
IS THE BIOPSY TOO CELLULAR OR INFLAMED 33
IS THIS CELLULAR NONSPECIFIC INTERSTITIAL PNEUMONIA 34
ARE THERE GRANULOMAS 34
HOW CAN THE GRANULOMAS BE FURTHER CLASSIFIED 34
THIS LOOKS NORMAL, WHAT AM I MISSING 37
IS THERE A DIAGNOSIS THAT I AM FORGETTING 39
REFERENCES 39
Chapter 4. Idiopathic Pulmonary Fibrosis: Diagnosis and Epidemiology 41
THE DIAGNOSIS OF IPF 41
THE EPIDEMIOLOGY OF IPF 42
SUMMARY 48
REFERENCES 49
Chapter 5. Idiopathic Pulmonary Fibrosis: Phenotypes and Comorbidities 51
ARE THERE DISTINCT PHENOTYPES IN IPF? 51
OTHER COMORBIDITIES IN IPF 53
SUMMARY 55
REFERENCES 55
Chapter 6. Acute Exacerbation of Idiopathic Pulmonary Fibrosis 59
INCIDENCE 59
RISK FACTORS 61
ETIOLOGY 61
PATHOGENESIS AND PATHOBIOLOGY 62
PRECIPITATING FACTORS 63
BIOMARKERS 63
PATHOLOGY 64
RADIOLOGY 64
DIAGNOSIS 64
TREATMENT 64
ACUTE RESPIRATORY WORSENING OF OTHER CONDITIONS 65
SUMMARY 65
ACKNOWLEDGMENTS 65
REFERENCES 65
Chapter 7. Idiopathic Pulmonary Fibrosis: Pathobiology of Novel Approaches to Treatment 69
THE PATHOGENESIS OF IPF: SHIFTING PARADIGMS 69
TREATMENT DEVELOPMENT CHALLENGES: AN EMBARRASSMENT OF RICHES BUT A LACK OF TOOLS 71
THE IPF TREATMENT LANDSCAPE: PAST AND PRESENT 71
WHAT CAN BE LEARNT FROM IPF TRAIL FAILURES? 72
EMERGING TREATMENT TARGETS IN IPF 73
SUMMARY 78
REFERENCES 78
Chapter 8. Management of Idiopathic Pulmonary Fibrosis 85
PHARMACOLOGIC TREATMENTS 85
MANAGEMENT OF COMORBIDITIES 89
MANAGEMENT OF ACUTE EXACERBATION OF IPF 89
NONPHARMACOLOGIC TREATMENTS 90
LUNG TRANSPLANTATION 91
SUMMARY 91
REFERENCES 92
Chapter 9. Genetic Interstitial Lung Disease 95
GENETIC DISORDERS AFFECTING MULTIPLE ORGANS, INCLUDING THE LUNG 95
GENETIC DISEASES PRIMARILY AFFECTING THE LUNG 99
CLINICAL MANAGEMENT OF GENETIC INTERSTITIAL LUNG DISEASES 103
REFERENCES 105
Chapter 10. Nonspecific Interstitial Pneumonia 111
THE CLINICAL ENTITY OF NONSPECIFIC INTERSTITIAL PNEUMONITIS 111
HISTORY OF THE NOMENCLATURE OF IIPS 111
NSIP HISTOPATHOLOGIC PATTERN 112
THE AMERICAN THORACIC SOCIETY WORKING GROUP ON IDIOPATHIC NSIP 113
CLINICAL PRESENTATION 113
RADIOGRAPHY 114
DIAGNOSTIC APPROACH 115
PROGNOSIS 116
UCTD 116
MANAGEMENT AND TREATMENT 117
REFERENCES 119
Chapter 11. Interstitial Lung Disease in the Connective Tissue Diseases 123
GENERAL APPROACH 124
SYSTEMIC SCLEROSIS (SCLERODERMA) 132
IDIOPATHIC INFLAMMATORY MYOPATHIES 134
SJO¨ GREN SYNDROME 136
SLE 138
SUMMARY 139
REFERENCES 139
Chapter 12. Chronic Hypersensitivity Pneumonitis 151
CAUSATIVE AGENTS 151
EPIDEMIOLOGY 154
PATHOGENESIS 154
PATHOLOGY 155
CLINICAL FEATURES 155
INVESTIGATIONS 156
DIAGNOSIS 158
NATURAL HISTORY AND PROGNOSIS 159
MANAGEMENT 160
SUMMARY 160
REFERENCES 161
Chapter 13. Smoking-Related Interstitial Lung Diseases 165
SMOKING AND ILD 165
MECHANISMS BY WHICH TOBACCO SMOKE MAY PROMOTE ILD 167
RB-ILD 168
DIP 169
PLCH 170
ACUTE ILD ASSOCIATED WITH SMOKING 172
SMOKING AND PULMONARY FIBROSIS 172
ILDs THAT ARE LESS COMMON IN SMOKERS 173
SUMMARY 173
REFERENCES 174
Chapter 14. Lung Transplantation for Interstitial Lung Disease 179
WHO SHOULD BE REFERRED AND LISTED FOR TRANSPLANT? 179
DISEASE-SPECIFIC CONSIDERATIONS 183
SUMMARY 186
REFERENCES 186
Index 191