Acute exacerbation of idiopathic pulmonary fibrosis: Frequency and clinical features

D. S. Kim, J. H. Park, B. K. Park, J. S. Lee, A. G. Nicholson, T. Colby

Research output: Contribution to journalArticlepeer-review

351 Scopus citations

Abstract

Although acute exacerbations of idiopathic pulmonary fibrosis are well recognised, there are no studies documenting their prevalence or identifying pre-existing risk factors. This study analysed the clinical, radiological and pathological data of 11 patients who satisfied the criteria for acute exacerbation among 147 patients with biopsy-proven idiopathic pulmonary fibrosis. There were five additional patients who had similar demographics, radiology and surgical lung biopsy pathology, but had clinically less severe disease, and so were not included. The 2-yr frequency of acute exacerbation was 9.6% after the diagnosis. Most exacerbations were idiopathic, although two cases presented after surgical lung biopsy and one after bronchoalveolar lavage. No significant risk factor was found by univariate proportional hazard analysis. Imaging revealed diffuse bilateral ground-glass opacification superimposed on subpleural reticular and honeycombing densities. The biopsies of four patients taken during acute exacerbation exhibited diffuse alveolar damage superimposed upon usual interstitial pneumonia. The findings of this study demonstrate that acute exacerbation of idiopathic pulmonary fibrosis is rather common and this exacerbation is likely to have a spectrum of severity. Copyright

Original languageEnglish (US)
Pages (from-to)143-150
Number of pages8
JournalEuropean Respiratory Journal
Volume27
Issue number1
DOIs
StatePublished - Jan 2006

Keywords

  • Acute exacerbation
  • Diagnostic criteria
  • Frequency
  • Idiopathic pulmonary fibrosis
  • Risk factors
  • Surgical lung biopsy pathology

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

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