Idiopathic pulmonary fibrosis – Differential diagnosis

The key issue facing clinicians is whether the presenting history, symptoms (or signs), radiology, and pulmonary function testing are collectively in keeping with the diagnosis of IPF (which carries the poor prognosis described above) or whether the findings are due to another process.

The key issue facing clinicians is whether the presenting history, symptoms (or signs), radiology, and pulmonary function testing are collectively in keeping with the diagnosis of IPF (which carries the poor prognosis described above) or whether the findings are due to another process. It has long been recognized that patients with interstitial lung disease related to asbestos exposure, drugs (such as chemotherapeutic agents or nitrofurantoin), rheumatoid arthritis and scleroderma/systemic sclerosis may be difficult to distinguish from IPF. Other differential diagnostic considerations include interstitial lung disease related to mixed connective tissue disease, advanced sarcoidosis, chronic hypersensitivity pneumonitis, pulmonary Langerhans cell histiocytosis and radiation-induced fibrosis.


Adapted from the Wikipedia article Idiopathic pulmonary fibrosis, under the G. N. U. Free Documentation License. Please also see http://en.wikipedia.org/wiki








Related Articles

SarcoidosisAccording to the American Thoracic Society (ATS), the general diagnostic criteria for asbestosis are: *Evidence of structural pathology consistent wit...
SarcoidosisThe differential diagnosis includes other types of lung disease that cause similar symptoms and show similar abnormalities on chest radiographs. Some ...
RheumatoidIdiopathic pulmonary fibrosis is a type of idiopathic interstitial pneumonia (IIP), which in turn is a type of ”interstitial lung disease”...
AsbestosOur lungs get a lot of work because they are always working to trap oxygen to give to blood as well as remove carbon dioxide from the bloodstream as w...
Pulmonary fibrosisSarcoidosis may present atypically as Lofgrens and HeerFordts syndrome.¹ Sarcoidosis in younger patients with spontaneous remission and less ...