Interstitial pneumonia with autoimmune features: a critical appraisal of the new definition

被引:11
作者
Strek, Mary E. [1 ]
Costabel, Ulrich [2 ]
机构
[1] Univ Chicago Med, Sect Pulm & Crit Care Med, Dept Med, Chicago, IL USA
[2] Univ Duisburg Essen, Univ Hosp, Interstitial & Rare Lung Dis Unit, Ruhrlandklin, Essen, Germany
关键词
interstitial lung disease; interstitial pneumonia; interstitial pneumonia with autoimmune features; undifferentiated connective tissue disease; CONNECTIVE-TISSUE DISEASE; IDIOPATHIC PULMONARY-FIBROSIS; LUNG-DISEASE; SURVIVAL; CLASSIFICATION; BIOMARKERS;
D O I
10.1097/MCP.0000000000000298
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Purpose of review We review the newly formulated and published research classification criteria for interstitial pneumonia with autoimmune features and appraise these criteria in light of findings from recent investigations. Recent findings Previous studies demonstrated that interstitial pneumonia may be caused by an autoimmune process with a variety of names and criteria utilized for this entity. To standardize terminology and provide a definition for future research, a multidisciplinary task force formulated criteria by which patients with interstitial lung disease and autoimmune features might be recognized. The interstitial pneumonia with autoimmune features criteria require the presence of an interstitial pneumonia on chest imaging or surgical lung biopsy, exclusion of an alternate cause, the absence of a defined connective tissue disease and at least one feature suggestive of autoimmunity from at least two of three domains: clinical with specific extra-thoracic features, serologic with positive autoantibodies and morphologic as demonstrated by chest imaging, histopathology, or multicompartment involvement. Although recent studies provide insight into features of significance, these criteria have not undergone formal validation. Summary A uniform name and set of research criteria for interstitial pneumonia with autoimmune features may identify patients with treatment responsive interstitial lung disease and an improved prognosis. These criteria require validation before they can be applied in the clinical setting.
引用
收藏
页码:442 / 449
页数:8
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