Idiopathic Chronic Lung Disease aRe Nonspecific
Mittwoch, 04. Mai 2016
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Husten und Dyspnoe
- A: acute interstitial pneumonia (AIP). The only acute process in the list.
- I: idiopathic pulmonary fibrosis / usual interstitial pneumonia (IPF / UIP)
- C: cryptogenic organizing pneumonia (COP)
- L: lymphoid interstitial pneumonia (LIP)
- D: desquamative interstitial pneumonia (DIP)
- R: respiratory bronchiolitis–associated interstitial lung disease (RB-ILD)
- N: nonspecific interstitial pneumonia (NSIP)
The first two, AIP and IPF/UIP, have very poor prognosis. The next in the list, COP, is associated with good response to steroids and good prognosis. LIP is more common in women (think „LIPstick“), in contrast to the others, which are either more common in men or have equal gender distribution.
The following two, DIP and RB-ILD, are at extremes of a spectrum, are associated with smoking, and have good response with smoking cessation.
One caveat: The word chronic in the mnemonic should be taken with a grain of salt. Some of the entities may have a subacute presentation, and one, AIP, presents acutely.