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Time for a change: is idiopathic pulmonary fibrosis still idiopathic and only fibrotic?

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Title: Time for a change: is idiopathic pulmonary fibrosis still idiopathic and only fibrotic?
Authors: Wolters, PJ
Blackwell, TS
Eickelberg, O
Loyd, JE
Kaminski, N
Jenkins, G
Maher, TM
Molina-Molina, M
Noble, PW
Raghu, G
Richeldi, L
Schwarz, MI
Selman, M
Wuyts, WA
Schwartz, DA
Item Type: Journal Article
Abstract: Idiopathic pulmonary fibrosis (IPF) is a progressive, irreversible, and typically fatal lung disease characterised by subpleural fibrosis, subepithelial fibroblast foci, and microscopic honeycombing. Although understanding of the pathogenic mechanisms continues to evolve, evidence indicates that distal airway and alveolar epithelial cells are central drivers of the disease. In this Viewpoint, we review the history of naming and classifications used to define the disease now referred to as IPF, in the context of understanding the clinical presentation, causes, and pathogenesis of the disease. We aim to generate discussion on whether, given the substantial progress made in understanding the clinical, genetic, cellular, and molecular mechanisms involved in the development of IPF, a change of name should be considered. To initiate this discussion, we offer new suggestions to update the name of this disease and new approaches to classify all forms of pulmonary fibrosis.
Issue Date: 1-Feb-2018
Date of Acceptance: 12-Dec-2017
URI: http://hdl.handle.net/10044/1/56979
DOI: https://dx.doi.org/10.1016/S2213-2600(18)30007-9
ISSN: 2213-2600
Publisher: Elsevier
Start Page: 154
End Page: 160
Journal / Book Title: Lancet Respiratory Medicine
Volume: 6
Issue: 2
Copyright Statement: © 2018, Elsevier. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/
Sponsor/Funder: National Institute for Health Research
Funder's Grant Number: n/a
Publication Status: Published
Appears in Collections:National Heart and Lung Institute
Faculty of Medicine



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