Table 1

UIP in IPF

Clinical featuresRadiological featuresHistopathological features
▸ Age greater than 60 years
▸ More frequent in men
▸ Smoking history common
▸ Dyspnoea longer then 3 months
▸ Dry, non-productive cough
▸ Restrictive pattern of respiratory impairment common
▸ Inhalational exposures uncommon
▸ Digital clubbing, common in advanced disease
▸ Oxygen desaturation with exercise common
▸ Subpleural and basal predominance
▸ Progressive gradient toward bases
▸ Reticular abnormalities
▸ Traction bronchiectasis
▸ Subpleural honeycomb cysts (necessary for confident radiological diagnosis)
▸ Minimal ground-glass opacities: common in areas of reticulation, but never extensive
▸ Spatial heterogeneity
▸ Temporal heterogeneity
▸ Fibroblastic foci common
▸ Peripheral lobular distribution commonly present
▸ Microscopic honeycomb remodelling
▸ Smooth muscle in fibrosis
  • IPF, idiopathic pulmonary fibrosis; UIP, usual interstitial pneumonia.