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Idiopathic Pulmonary Fibrosis(IPF)

MedGen UID:
321462
Concept ID:
C1800706
Disease or Syndrome
Synonyms: idiopathic fibrosing alveolitis; Idiopathic fibrosing alveolitis, chronic form
SNOMED CT: Idiopathic fibrosing alveolitis (700250006); Cryptogenic fibrosing alveolitis (700250006); Idiopathic pulmonary fibrosis (700250006); IPF - idiopathic pulmonary fibrosis (700250006)
 
OMIM®: 178500

Definition

Idiopathic pulmonary fibrosis is a chronic, progressive lung disease. This condition causes scar tissue (fibrosis) to build up in the lungs, which makes the lungs unable to transport oxygen into the bloodstream effectively. The disease usually affects people between the ages of 50 and 70. Idiopathic pulmonary fibrosis belongs to a group of conditions called interstitial lung diseases (also known as ILD), which describes lung diseases that involve inflammation or scarring in the lung.

The most common signs and symptoms of idiopathic pulmonary fibrosis are shortness of breath and a persistent dry, hacking cough. Many affected individuals also experience a loss of appetite and gradual weight loss. Some people with idiopathic pulmonary fibrosis develop widened and rounded tips of the fingers and toes (clubbing) resulting from a shortage of oxygen. These features are relatively nonspecific; not everyone with these health problems has idiopathic pulmonary fibrosis. Other respiratory diseases, some of which are less serious, can cause similar signs and symptoms.

In people with idiopathic pulmonary fibrosis, scarring of the lungs increases over time until the lungs can no longer provide enough oxygen to the body's organs and tissues. Some people with idiopathic pulmonary fibrosis develop other serious lung conditions, including lung cancer, blood clots in the lungs (pulmonary emboli), pneumonia, or high blood pressure in the blood vessels that supply the lungs (pulmonary hypertension). Most affected individuals survive 3 to 5 years after their diagnosis. However, the course of the disease is highly variable; some affected people become seriously ill within a few months, while others may live with the disease for a decade or longer.

In most cases, idiopathic pulmonary fibrosis occurs in only one person in a family. These cases are described as sporadic. However, a small percentage of people with this disease have at least one other affected family member. When idiopathic pulmonary fibrosis occurs in multiple members of the same family, it is known as familial pulmonary fibrosis. [from MedlinePlus Genetics]

Professional guidelines

PubMed

Raghu G, Remy-Jardin M, Richeldi L, Thomson CC, Inoue Y, Johkoh T, Kreuter M, Lynch DA, Maher TM, Martinez FJ, Molina-Molina M, Myers JL, Nicholson AG, Ryerson CJ, Strek ME, Troy LK, Wijsenbeek M, Mammen MJ, Hossain T, Bissell BD, Herman DD, Hon SM, Kheir F, Khor YH, Macrea M, Antoniou KM, Bouros D, Buendia-Roldan I, Caro F, Crestani B, Ho L, Morisset J, Olson AL, Podolanczuk A, Poletti V, Selman M, Ewing T, Jones S, Knight SL, Ghazipura M, Wilson KC
Am J Respir Crit Care Med 2022 May 1;205(9):e18-e47. doi: 10.1164/rccm.202202-0399ST. PMID: 35486072Free PMC Article
Glass DS, Grossfeld D, Renna HA, Agarwala P, Spiegler P, DeLeon J, Reiss AB
Clin Respir J 2022 Feb;16(2):84-96. Epub 2022 Jan 10 doi: 10.1111/crj.13466. PMID: 35001525Free PMC Article
Lynch DA, Sverzellati N, Travis WD, Brown KK, Colby TV, Galvin JR, Goldin JG, Hansell DM, Inoue Y, Johkoh T, Nicholson AG, Knight SL, Raoof S, Richeldi L, Ryerson CJ, Ryu JH, Wells AU
Lancet Respir Med 2018 Feb;6(2):138-153. Epub 2017 Nov 15 doi: 10.1016/S2213-2600(17)30433-2. PMID: 29154106

Recent clinical studies

Etiology

León-Román F, Valenzuela C, Molina-Molina M
Med Clin (Barc) 2022 Aug 26;159(4):189-194. Epub 2022 Jun 1 doi: 10.1016/j.medcli.2022.02.020. PMID: 35659420
Naoi H, Suzuki Y, Mori K, Aono Y, Kono M, Hasegawa H, Yokomura K, Inoue Y, Hozumi H, Karayama M, Furuhashi K, Enomoto N, Fujisawa T, Nakamura Y, Inui N, Nakamura H, Suda T
Thorax 2022 Jul;77(7):727-730. Epub 2022 Mar 30 doi: 10.1136/thoraxjnl-2021-218281. PMID: 35354649
Lederer DJ, Martinez FJ
N Engl J Med 2018 May 10;378(19):1811-1823. doi: 10.1056/NEJMra1705751. PMID: 29742380
Sgalla G, Iovene B, Calvello M, Ori M, Varone F, Richeldi L
Respir Res 2018 Feb 22;19(1):32. doi: 10.1186/s12931-018-0730-2. PMID: 29471816Free PMC Article
Collard HR, Ryerson CJ, Corte TJ, Jenkins G, Kondoh Y, Lederer DJ, Lee JS, Maher TM, Wells AU, Antoniou KM, Behr J, Brown KK, Cottin V, Flaherty KR, Fukuoka J, Hansell DM, Johkoh T, Kaminski N, Kim DS, Kolb M, Lynch DA, Myers JL, Raghu G, Richeldi L, Taniguchi H, Martinez FJ
Am J Respir Crit Care Med 2016 Aug 1;194(3):265-75. doi: 10.1164/rccm.201604-0801CI. PMID: 27299520

Diagnosis

Amaral AF, Colares PFB, Kairalla RA
J Bras Pneumol 2023;49(4):e20230085. Epub 2023 Aug 7 doi: 10.36416/1806-3756/e20230085. PMID: 37556670Free PMC Article
Benegas Urteaga M, Ramírez Ruz J, Sánchez González M
Radiologia (Engl Ed) 2022 Dec;64 Suppl 3:227-239. doi: 10.1016/j.rxeng.2022.10.009. PMID: 36737162
Glass DS, Grossfeld D, Renna HA, Agarwala P, Spiegler P, DeLeon J, Reiss AB
Clin Respir J 2022 Feb;16(2):84-96. Epub 2022 Jan 10 doi: 10.1111/crj.13466. PMID: 35001525Free PMC Article
Lederer DJ, Martinez FJ
N Engl J Med 2018 May 10;378(19):1811-1823. doi: 10.1056/NEJMra1705751. PMID: 29742380
Richeldi L, Collard HR, Jones MG
Lancet 2017 May 13;389(10082):1941-1952. Epub 2017 Mar 30 doi: 10.1016/S0140-6736(17)30866-8. PMID: 28365056

Therapy

Glass DS, Grossfeld D, Renna HA, Agarwala P, Spiegler P, DeLeon J, Reiss AB
Clin Respir J 2022 Feb;16(2):84-96. Epub 2022 Jan 10 doi: 10.1111/crj.13466. PMID: 35001525Free PMC Article
Wong AW, Ryerson CJ, Guler SA
Respir Res 2020 Jan 29;21(1):32. doi: 10.1186/s12931-020-1296-3. PMID: 31996266Free PMC Article
Heukels P, Moor CC, von der Thüsen JH, Wijsenbeek MS, Kool M
Respir Med 2019 Feb;147:79-91. Epub 2019 Jan 9 doi: 10.1016/j.rmed.2018.12.015. PMID: 30704705
Justice JN, Nambiar AM, Tchkonia T, LeBrasseur NK, Pascual R, Hashmi SK, Prata L, Masternak MM, Kritchevsky SB, Musi N, Kirkland JL
EBioMedicine 2019 Feb;40:554-563. Epub 2019 Jan 5 doi: 10.1016/j.ebiom.2018.12.052. PMID: 30616998Free PMC Article
Wollin L, Wex E, Pautsch A, Schnapp G, Hostettler KE, Stowasser S, Kolb M
Eur Respir J 2015 May;45(5):1434-45. Epub 2015 Mar 5 doi: 10.1183/09031936.00174914. PMID: 25745043Free PMC Article

Prognosis

Naoi H, Suzuki Y, Mori K, Aono Y, Kono M, Hasegawa H, Yokomura K, Inoue Y, Hozumi H, Karayama M, Furuhashi K, Enomoto N, Fujisawa T, Nakamura Y, Inui N, Nakamura H, Suda T
Thorax 2022 Jul;77(7):727-730. Epub 2022 Mar 30 doi: 10.1136/thoraxjnl-2021-218281. PMID: 35354649
Finnerty JP, Ponnuswamy A, Dutta P, Abdelaziz A, Kamil H
BMC Pulm Med 2021 Dec 11;21(1):411. doi: 10.1186/s12890-021-01783-1. PMID: 34895203Free PMC Article
Maher TM, Bendstrup E, Dron L, Langley J, Smith G, Khalid JM, Patel H, Kreuter M
Respir Res 2021 Jul 7;22(1):197. doi: 10.1186/s12931-021-01791-z. PMID: 34233665Free PMC Article
Agarwala P, Salzman SH
Chest 2020 Mar;157(3):603-611. Epub 2019 Nov 2 doi: 10.1016/j.chest.2019.10.014. PMID: 31689414Free PMC Article
Hutchinson J, Fogarty A, Hubbard R, McKeever T
Eur Respir J 2015 Sep;46(3):795-806. Epub 2015 May 14 doi: 10.1183/09031936.00185114. PMID: 25976683

Clinical prediction guides

Clynick B, Corte TJ, Jo HE, Stewart I, Glaspole IN, Grainge C, Maher TM, Navaratnam V, Hubbard R, Hopkins PMA, Reynolds PN, Chapman S, Zappala C, Keir GJ, Cooper WA, Mahar AM, Ellis S, Goh NS, De Jong E, Cha L, Tan DBA, Leigh L, Oldmeadow C, Walters EH, Jenkins RG, Moodley Y
Eur Respir J 2022 Mar;59(3) Epub 2022 Mar 31 doi: 10.1183/13993003.01181-2021. PMID: 34675050
Cottin V, Hirani NA, Hotchkin DL, Nambiar AM, Ogura T, Otaola M, Skowasch D, Park JS, Poonyagariyagorn HK, Wuyts W, Wells AU
Eur Respir Rev 2018 Dec 31;27(150) Epub 2018 Dec 21 doi: 10.1183/16000617.0076-2018. PMID: 30578335Free PMC Article
Antoniou KM, Margaritopoulos GA, Tomassetti S, Bonella F, Costabel U, Poletti V
Eur Respir Rev 2014 Mar 1;23(131):40-54. doi: 10.1183/09059180.00009113. PMID: 24591661Free PMC Article
Richeldi L
Eur Respir Rev 2013 Jun 1;22(128):103-5. doi: 10.1183/09059180.00001413. PMID: 23728863Free PMC Article
Ley B, Ryerson CJ, Vittinghoff E, Ryu JH, Tomassetti S, Lee JS, Poletti V, Buccioli M, Elicker BM, Jones KD, King TE Jr, Collard HR
Ann Intern Med 2012 May 15;156(10):684-91. doi: 10.7326/0003-4819-156-10-201205150-00004. PMID: 22586007

Recent systematic reviews

Zhao L, Luo JL, Ali MK, Spiekerkoetter E, Nicolls MR
Am J Respir Cell Mol Biol 2023 Mar;68(3):245-255. doi: 10.1165/rcmb.2022-0208TR. PMID: 36476129Free PMC Article
Pitre T, Mah J, Helmeczi W, Khalid MF, Cui S, Zhang M, Husnudinov R, Su J, Banfield L, Guy B, Coyne J, Scallan C, Kolb MR, Jones A, Zeraatkar D
Thorax 2022 Dec;77(12):1243-1250. Epub 2022 Feb 10 doi: 10.1136/thoraxjnl-2021-217976. PMID: 35145039
Finnerty JP, Ponnuswamy A, Dutta P, Abdelaziz A, Kamil H
BMC Pulm Med 2021 Dec 11;21(1):411. doi: 10.1186/s12890-021-01783-1. PMID: 34895203Free PMC Article
Dowman L, Hill CJ, May A, Holland AE
Cochrane Database Syst Rev 2021 Feb 1;2(2):CD006322. doi: 10.1002/14651858.CD006322.pub4. PMID: 34559419Free PMC Article
Hutchinson J, Fogarty A, Hubbard R, McKeever T
Eur Respir J 2015 Sep;46(3):795-806. Epub 2015 May 14 doi: 10.1183/09031936.00185114. PMID: 25976683

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