• Clujul medical (1957) · Jan 2015

    Review

    State of the art in the diagnosis and management of interstitial lung disease.

    • Maria T A Buzan and Carmen Monica Pop.
    • Department of Pulmonology, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.
    • Clujul Med. 2015 Jan 1;88(2):116-23.

    AbstractThe interstitial lung diseases (ILDs) are a diverse group of disorders characterized by a varying combination of inflammation and fibrosis of the pulmonary parenchyma. Treatment and prognosis of ILD typically depend on the underlying ILD subtype, highlighting the importance of accurate classification and diagnosis. Besides a thorough history and clinical examination, the protocol should include a 6-minute walk test, chest radiography, high-resolution computed tomography, biochemical analysis, pulmonary function tests, blood gas analysis, bronchoalveolar lavage, and, when necessary, a lung biopsy. The final diagnosis of ILD entities requires dynamic interaction between clinicians, radiologists and pathologists to reach a clinico-radiologic-pathologic diagnosis, the gold standard no longer being the histology but rather a multidisciplinary approach.

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