The role of the pathologic exam in the acute exacerbations of the interstitialpneumonia

##plugins.themes.academic_pro.article.main##

Mouna Mlika
Anissa Berraies
Agnés Hamzaoui
Faouzi Mezni

Abstract

Acute exacerbation of interstitial pneumonia is a new terminology with recent debated criteria. Its prognosis is bad and its management remains non consensual. This lack of consensus seems to be due to the lack of knowledge concerning the physiopathologic phenomenon. This lack of knowledge results in few efficient therapeutics. The diagnosis of acute exacerbation is challenging for clinicians and the real place of the pathologic exam remains unknown. Our aim was to assess the different situations faced by the pathologists by emphasizing their real role.

Keywords:

acute exacerbation , interstitial pneumonia , pathologic exam

##plugins.themes.academic_pro.article.details##

References

  1. Papiris SA, Manali ED, Kolilekas L, Kagouridis K, Triantafilidou C, Tsangaris I, Roussos C. Clinical review: idiopathic pulmonary fibrosis acute exacerbations-unraveling Adriadne's thread. Critical care 2010;14:14-246.
  2. Kondoh Y, Taniguchi H, Kawabata Y, Yokoi T, Suzuki K, Takagi K. Acute exacerbation in idiopathic pulmonary fibrosis. Analysis of clinical and pathologic findings in 3 cases. Chest 1993;103:1808-1812
  3. Hozumi H, Nakamura Y, Johkoh T, Sumikawa H, Colby TV, Kono M, Hashimoto D, Enormoto N, Fujisawa T, Inui N, Suda T, Chida K. Acute exacerbation in rheumatoid arthritis-associated interstitial lung disease: a retrospective case control study. BMJ Open 2013;3:e003132.
  4. Luppi F1, Cerri S, Taddei S, Ferrara G, Cottin V. Acute exacerbation of idiopathic pulmonary fibrosis: a clinical review. Intern Emerg Med. 2015;10(4):401-11
  5. Hozumi H1, Nakamura Y, Johkoh T, Sumikawa H, Colby TV, Kono M, Hashimoto D, Enomoto N, Fujisawa T, Inui N, Suda T, Chida K. Acute exacerbation in rheumatoid arthritis-associated interstitial lung disease: a retrospective case control study. BMJ Open. 2013;13:3(9)
  6. Collard HR, Moore BB, Flaherty KR, Brown KK, Kaner RJ, King TF, Lasky JA, Loyd JE, et al. Acute exacerbation of idiopathic pulmonary fibrosis. Eur Respir J. 2008;32:170-174.
  7. Hyzy R, Huang S, Myers J, Flaherty K, Martinez F. acute exacerbation of idiopathic pulmonary fibrosis. Chest 2007;132:1652-58.
  8. Vannella KM, Moore BB. Viruses as co-factors for the intitiation of exacerbation of lung fibrosis. Fibrogenesis Tissue Repair 2008;1:2.
  9. Rotolo N1, Imperatori A, Dominioni L, Facchini A, Conti V, Castiglioni M, Spanevello A. Efficacy and safety of surgical lung biopsy for interstitial disease. Experience of 161 consecutive patients from a single institution in Italy. Sarcoidosis Vasc Diffuse Lung Dis. 2015 14;32(3):251-8.
  10. Noma S, Matsuyama W, Mitsuyama H, Suetsugu T, Koreeda Y, Mizuno K, et al. Two cases of acute exacerbation of interstitial pneumonia treated with polymyxin B-immobilized fiber column hemoperfusion treatment. Intern Med 2007;46:0117.
  11. Akira M, Inoue Y, Arai T, Okuma T, Kawata Y. Long-term follow-up high-resolution CT findings in non-specific interstitial pneumonia. Thorax 2011;66(1):61-5.
  12. Park JH1, Kim DK, Kim DS, Koh Y, Lee SD, Kim WS, Kim WD, Park SI. Mortality and risk factors for surgical lung biopsy in patients with idiopathic interstitial pneumonia. Eur J Cardiothorac Surg. 2007;31(6):1115-9.
  13. Saito M1, Hatakeyama S2, Wakabayashi Y1, Yanagimoto S1, Takemura T3, Yotsuyanagi H. A pathologically proven case of adult-onset HIV-related lymphocytic interstitial pneumonia with acute exacerbation treated with steroid and antiretroviral therapy. J Infect Chemother. 2015;19
  14. Ushiki A1, Yamazaki Y2, Hama M3, Yasuo M4, Hanaoka M5, Kubo K6.)Viral infections in patients with an acute exacerbation of idiopathic interstitial pneumonia. Am J Respir Crit Care Med. 2011 15;183
  15. Wootton SC1, Kim DS, Kondoh Y, Chen E, Lee JS, Song JW, Huh JW, Taniguchi H, Chiu C, Boushey H, Lancaster LH, Wolters PJ, DeRisi J, Ganem D, Collard HR. Viral infection in acute exacerbation of idiopathic pulmonary fibrosis. Am J Respir Crit Care Med. 2011 Jun 15;183(12):1698-702.
  16. Lee JS1, Song JW, Wolters PJ, Elicker BM, King TE Jr, Kim DS, Collard HR.Bronchoalveolar lavage pepsin in acute exacerbation of idiopathic pulmonary fibrosis. Eur Respir J. 2012;39(2):352-8.
  17. Johannson KA1, Vittinghoff E, Lee K, Balmes JR, Ji W, Kaplan GG, Kim DS, Collard HR. Acute exacerbation of idiopathic pulmonary fibrosis associated with air pollution exposure. Eur Respir J. 2014;43(4):1124-31.
  18. Kimura T1, Nojiri T2, Hosoda H3, Shintani Y4, Inoue M4, Miyazato M5, Okumura M4, Kangawa K5. Exacerbation of bleomycin-induced injury by lipopolysaccharide in mice: establishment of a mouse model for acute exacerbation of interstitial lung diseases†. .Eur J Cardiothorac Surg. 2015;48(4):e85-91.