Difference between revisions of "Non-specific interstitial pneumonia"
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| Signs = cough | |||
| Symptoms = dyspnea | |||
| Prevalence = uncommon | |||
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| Prognosis = good | |||
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'''Non-specific interstitial pneumonia''', abbreviated '''NSIP''', is an uncommon type of [[diffuse lung disease]]. | '''Non-specific interstitial pneumonia''', abbreviated '''NSIP''', is an uncommon type of [[diffuse lung disease]]. | ||
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Note: | Note: | ||
*If no underlying cause is present it is known as ''idiopathic NSIP''.<ref>{{cite journal |author=Romagnoli M, Poletti V |title=[Update on non-specific interstitial pneumonia: a pattern, a clinical entity or different phenotypes? Surgical or bronchoscopic diagnosis?] |language=Italian |journal=Recenti Prog Med |volume=100 |issue=12 |pages=531–4 |year=2009 |month=December |pmid=20178304 |doi= |url=}}</ref> | *If no underlying cause is present it is known as ''idiopathic NSIP''. | ||
Clinical features, typical - idiopathic form:<ref name=pmid20178304>{{cite journal |author=Romagnoli M, Poletti V |title=[Update on non-specific interstitial pneumonia: a pattern, a clinical entity or different phenotypes? Surgical or bronchoscopic diagnosis?] |language=Italian |journal=Recenti Prog Med |volume=100 |issue=12 |pages=531–4 |year=2009 |month=December |pmid=20178304 |doi= |url=}}</ref> | |||
*Middle-aged, never-smoker women. | |||
*Dyspnea. | |||
*Cough. | |||
*Ground glass on HRCT. | |||
*Very good prognosis. | |||
==Gross/Radiology== | ==Gross/Radiology== | ||
Revision as of 04:04, 31 May 2014
| Non-specific interstitial pneumonia | |
|---|---|
| Diagnosis in short | |
| Site | lung - see diffuse lung diseases |
|
| |
| Signs | cough |
| Symptoms | dyspnea |
| Prevalence | uncommon |
| Prognosis | good |
Non-specific interstitial pneumonia, abbreviated NSIP, is an uncommon type of diffuse lung disease.
General
- Better prognosis than UIP.
- May respond to corticosteroids.[1]
- Some radiologists and pathologists don't believe in this entity.[citation needed]
Associations:[2]
Note:
- If no underlying cause is present it is known as idiopathic NSIP.
Clinical features, typical - idiopathic form:[4]
- Middle-aged, never-smoker women.
- Dyspnea.
- Cough.
- Ground glass on HRCT.
- Very good prognosis.
Gross/Radiology
- No honeycombing.
- Fibrosis usually lower lung zone.
- Patchy ground glass.
Microscopic
Features:[2]
- Diffuse fibrosis:
- Uniform fibrosis (unlike UIP).
- "Linear fibrosis" has a good prognosis - should be mentioned in the report.
- Linear fibrosis = fibrosis that follows alveolar walls + no architectural distortion.
- +/-Lymphoid nodules - association with collagen vascular disease. (???)
- +/-Focal organizing pneumonia.
Notes:
- Inflammation in NSIP usually more prominent than in UIP.
- No honeycombing - key difference between UIP and NSIP.
DDx:
- Collagen vascular disease.
- Drug reaction.
- Hypersensitivity pneumonitis (extrinic allergic alveolitis).
- Lymphocytic interstitial pneumonia (LIP) - much more inflammation.
See also
References
- ↑ Lee JY, Jin SM, Lee BJ, et al. (June 2012). "Treatment response and long term follow-up results of nonspecific interstitial pneumonia". J. Korean Med. Sci. 27 (6): 661–7. doi:10.3346/jkms.2012.27.6.661. PMC 3369453. PMID 22690098. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3369453/.
- ↑ 2.0 2.1 Humphrey, Peter A; Dehner, Louis P; Pfeifer, John D (2008). The Washington Manual of Surgical Pathology (1st ed.). Lippincott Williams & Wilkins. pp. 92. ISBN 978-0781765275.
- ↑ Hauber HP, Bittmann I, Kirsten D (August 2011). "[Non-specific interstitial pneumonia (NSIP)]" (in German). Pneumologie 65 (8): 477–83. doi:10.1055/s-0030-1256284. PMID 21437858.
- ↑ Romagnoli M, Poletti V (December 2009). "[Update on non-specific interstitial pneumonia: a pattern, a clinical entity or different phenotypes? Surgical or bronchoscopic diagnosis?]" (in Italian). Recenti Prog Med 100 (12): 531–4. PMID 20178304.