Clinical features | Radiological features | Histopathological 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.