PMID: 18423179Apr 22, 2008Paper

Diagnoses and diagnostic procedures in 500 consecutive patients with clinical suspicion of interstitial lung disease

Archivos de bronconeumología
Ferran MorellJaume Ferrer

Abstract

To determine the diagnostic yield achieved with the application of current recommendations for evaluating patients with suspected interstitial lung disease (ILD) and the procedures that must be applied to reach a definitive diagnosis. Over a 10-year period, 500 consecutive patients attending an ILD outpatient clinic who showed features of diffuse lung involvement were assessed with a single diagnostic protocol. Results were introduced in a dedicated database and diagnoses for idiopathic interstitial pneumonia were established according to a recent consensus classification. A definitive diagnosis was reached in 427 (85%) patients: in 125 without invasive procedures and in 302 with invasive procedures. In 73 (14.6%) cases a definitive diagnosis was not reached, and patients were placed in the group of unclassifiable interstitial pneumonia. Idiopathic interstitial pneumonia was the predominant group with 193 (39%) patients. The main specific entities included sarcoidosis with 93 (19%) patients, usual interstitial pneumonia with 84 (17%) patients, and hypersensitivity pneumonitis with 75 (15%) patients. Thirty (6%) patients were diagnosed with an illness other than ILD (false ILD). In 332 patients, we performed a total of 433 invas...Continue Reading

References

Oct 1, 1994·American Journal of Respiratory and Critical Care Medicine·D B CoultasR E Sobonya
Aug 4, 2001·Acta Clinica Belgica·M ThomeerUNKNOWN VRGT Working Group on Interstitial Lung Diseases

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Citations

Nov 30, 2013·Anales de pediatría : publicación oficial de la Asociación Española de Pediatría (A.E.P.)·A CalleroE Alonso Lebrero
Sep 23, 2011·Radiología·I Herráez Ortega, L López González
Nov 7, 2009·Archivos de bronconeumología·Maria José DinisIsabel Carvalho
Jun 11, 2015·Respirology : Official Journal of the Asian Pacific Society of Respirology·Kate Skolnik, Christopher J Ryerson
Jan 27, 2015·The Clinical Respiratory Journal·Lars HagmeyerWinfried J Randerath
Jul 3, 2010·Respiratory Medicine·L Jara-PalomaresJ Martin-Juan

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