Challenges in pulmonary fibrosis x 5: the NSIP/UIP debate
- PMID: 17965079
- PMCID: PMC2117119
- DOI: 10.1136/thx.2004.031039
Challenges in pulmonary fibrosis x 5: the NSIP/UIP debate
Abstract
Among the idiopathic interstitial pneumonias, the two entities-idiopathic pulmonary fibrosis (IPF) characterised by the presence of the usual interstitial pneumonia pattern of histopathology (IPF/UIP) and non-specific interstitial pneumonia (NSIP; same nomenclature for the histopathological pattern and idiopathic disease) - have provoked considerable debate. IPF/UIP and NSIP closely mimic each other clinically but NSIP has a far better outcome. However, it remains unclear if NSIP is a truly separate and distinct entity. The histopathological pattern of NSIP can be found in a wide variety of clinical and radiological contexts. This review addresses these and other uncertainties regarding NSIP and UIP.
Conflict of interest statement
Competing interests: None.
References
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- Travis W D, King T E, Jr, Hunninghake G.et al American Thoracic Society Workshop on Idiopathic Nonspecific Interstitial Pneumonia (NSIP). American Thoracic Society International Conference; 18 May 2003, Seattle, Washington.
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