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Overview of Interstitial Lung Disease

(Diffuse Parenchymal Lung Diseases)

By

Joyce Lee

, MD, MAS, University of Colorado School of Medicine

Reviewed/Revised Jul 2023
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Interstitial lung diseases are a heterogeneous group of disorders characterized by alveolar septal thickening, fibroblast proliferation, collagen deposition, and, if the process remains unchecked, pulmonary fibrosis. Interstitial lung diseases can be classified using various criteria (eg, acute vs chronic, granulomatous vs nongranulomatous, known cause vs unknown cause, primary lung disease vs secondary to systemic disease, history of smoking vs no smoking history).

Among the numerous possible causes are most systemic rheumatic disorders and occupational lung exposures Work-Related Asthma Work-related asthma includes both occupational asthma and work-exacerbated asthma. Occupational asthma is new-onset asthma that is caused by exposure to either allergens or irritants in the... read more , many medications, and some illicit drugs (see table ). A number of interstitial lung diseases of unknown etiology have characteristic histology, clinical features, or presentation and thus are considered unique diseases, including the following:

In up to 30% of patients who have interstitial lung diseases that have no clear cause, the disorders are distinguished primarily by characteristic histopathologic features; these disorders are termed the idiopathic interstitial pneumonias Overview of Idiopathic Interstitial Pneumonias Idiopathic interstitial pneumonias (IIPs) are interstitial lung diseases of unknown etiology that share similar clinical and radiologic features and are distinguished primarily by the histopathologic... read more .

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