Differential diagnosis of idiopathic pulmonary fibrosis

被引:0
|
作者
Shmelev, E., I [1 ]
Ergeshov, A. E. [1 ]
Gergert, V. Ya [1 ]
机构
[1] Cent Res Inst TB, Moscow, Russia
来源
TERAPEVTICHESKII ARKHIV | 2020年 / 92卷 / 03期
关键词
idiopathic pulmonary fibrosis; diagnosis; interstitial lung diseases; LUNG-CANCER; GASTROESOPHAGEAL-REFLUX; HIATAL-HERNIA; ASSOCIATION; SURVIVAL; DISEASE; EMPHYSEMA; HYPERTENSION; PREVALENCE; DEPRESSION;
D O I
10.26442/00403660.2020.03.000346
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The review is devoted to the urgent problem of modern pulmonology: the differential diagnosis of idiopathic pulmonary fibrosis (ILF). ILF occupies a special place among many interstitial lung diseases for a number of reasons: 1) it is a deadly disease; 2) early diagnosis and adequate antifibrotic therapy significantly extend the life expectancy of patients; 3) anti-inflammatory drugs (corticosteroids) and cytostatics with ILF that are widely used in other forms of interstitial lung diseases are ineffective and accelerate the progression of the process; 4) the commonality of the main clinical signs (increasing respiratory failure) of various interstitial lung diseases. The list of respiratory diseases with which ILF should be differentiated is huge, and if with diffuse lung lesions of a known nature (disseminated pulmonary tuberculosis, pneumoconiosis, etc.) with a certain experience / qualification, the diagnosis is relatively simple, then the isolation of ILF from the group of idiopathic interstitial pneumonias always represents certain difficulties. The main methods used in the diagnosis of ILF are summarized taking into account current international and national recommendations.
引用
收藏
页码:102 / 108
页数:7
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