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Med. Sci. 2018, 6(3), 73; https://doi.org/10.3390/medsci6030073

Diagnosis of Idiopathic Pulmonary Fibrosis: Differential Diagnosis

1
Department of Respiratory Medicine, Galdakao Hospital, 48960 Galdako, Spain
2
Department of Radiology, University Hospital of León, 24071 León, Spain
3
Department of Respiratory Medicine, Marques de Valdecilla University Hospital, 39008 Santander, Spain
4
Department of Respiratory Medicine, El Bierzo Hospital, 24404 Ponferrada, Spain
*
Author to whom correspondence should be addressed.
Received: 5 July 2018 / Revised: 26 July 2018 / Accepted: 30 July 2018 / Published: 4 September 2018
(This article belongs to the Special Issue Idiopathic Pulmonary Fibrosis)
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Abstract

Idiopathic pulmonary fibrosis (IPF) is a chronic, progressive, and fibrotic interstitial lung disease of unknown origin with a characteristic imaging and histologic pattern called usual interstitial pneumonia (UIP). The diagnosis of IPF is a complex procedure that requires the support of various specialists, who must integrate clinical, radiological, and histological data. The multidisciplinary team (MDT) has become the new gold standard to diagnose and manage the disease, increasing the accuracy and agreement of the diagnosis between different centers. It is mandatory to exclude nonspecific interstitial pneumonia or other diseases that can cause the UIP pattern, particularly drugs or exposure diseases, including chronic hypersensitivity pneumonitis or systemic autoimmune disease. The role of the MDT is also to decide who could need a biopsy or to review patient diagnoses at regular intervals in those with additional information or unexpected evolution. This review provides updated information to achieve a proper IPF diagnosis. View Full-Text
Keywords: idiopathic pulmonary fibrosis lower case; usual interstitial pneumoniae; idiopathic interstitial pneumonia; surgical lung biopsy; transbronchial cryobiopsy; diagnosis; high-resolution computed tomography; multidisciplinary team idiopathic pulmonary fibrosis lower case; usual interstitial pneumoniae; idiopathic interstitial pneumonia; surgical lung biopsy; transbronchial cryobiopsy; diagnosis; high-resolution computed tomography; multidisciplinary team
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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).
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Aburto, M.; Herráez, I.; Iturbe, D.; Jiménez-Romero, A. Diagnosis of Idiopathic Pulmonary Fibrosis: Differential Diagnosis. Med. Sci. 2018, 6, 73.

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