Table 3

UIP in CHrHP

Clinical featuresRadiological featuresHistopathological features
▸ Middle age to older individuals
▸ Slowly progressive dyspnoea
▸ Cough frequent, often productive
▸ Exposure history, frequent, with focused questioning or home visit
▸ Positive precipitin antibodies, inconsistent
▸ Reticular pattern with traction bronchiectasis
▸ Ground-glass opacities, common
▸ Mid and upper lung zones commonly affected in a bronchovascular distribution with resulting micronodules
▸ Non-basilar distribution common
▸ Mosaic attenuation
▸ Irregular bronchovascular bundles
▸ Subpleural honeycomb cysts, not always basilar
▸ Patchy fibrosis along the bronchovascular bundle with rare fibroblast foci
▸ Individual interstitial giant cells, some with cholesterol clefts.
▸ Honeycomb cysts (lower and upper lobes)
▸ Extensive peribronchiolar metaplasia.
▸ Bridging fibrosis across lobules
  • CHrHP, chronic hypersensitivity pneumonitis; UIP, usual interstitial pneumonia.