Certain questions of classification and diagnostic problems of interstitial lung diseases
Abstract
Одной из наиболее сложных проблем в клинической терапии является дифференциальная диагностика заболеваний, объединенных рентгенологическим синдромом легочной диссеминации, так называемых интерстициальных заболеваний легких (ИЗЛ) [1,7]. ИЗЛ представлены приблизительно 200 нозологическими единицами, что со ставляет около 20% всех заболеваний легких [8]. Термин «гранулематозные болезни легких» основан на формировании гранулем при этих заболеваниях, в то время как несколько наиболее грозных заболе ваний этой группы, ранее объединяемых названием «идиопатический фиброзирующий альвеолит», вообще не образуют гранулемы. Термин «диффузные паренхиматозные болезни легких» делает акцент на паренхиматозном поражении – альвеолите, который является стержнем и главной ареной развертывания драматических событий.
About the Authors
A. E. Doroshenkova
Kuban State Medical University
Russian Federation
Krasnodar
Russian Federation
Krasnodar
N. V. Stavitskaya
Research Institute of Phthisiopulmonology by I. M. Sechenov First Moscow State Medical University
Russian Federation
Moscow
Russian Federation
Moscow
S. V. Smerdin
Research Institute of Phthisiopulmonology by I. M. Sechenov First Moscow State Medical University
Russian Federation
Moscow
Russian Federation
Moscow
T. I. Frolova
S. V. Ochapovsky Regional Clinical Hospital no. 1, Ministry of Health of Krasnodar Kray
Russian Federation
Krasnodar
Russian Federation
Krasnodar
E. V. Nurmukhametov
Kuban State Medical University
Russian Federation
Krasnodar
Russian Federation
Krasnodar
References
1. Abumuslimova E.A., Nedelina L.N. Problemy svoyevremennoy dignoskiki interstitsialnykh zabolevaniy legkikh v ambulatornykh usloviyakh. Organizatsionnye, klicheskiye i ekonomicheskiye aspekty vosstanovitelnoy meditsiny: sb. nauch. tr. [Problems of timely diagnostics of interstitial lung diseases on out-patient basis. Organizational, clinical and economic aspects of restorative medicine. Collection of Scien. Art.]. St. Petersburg, 2006, pp. 5-7. (In Russ.)
2. Avdeyeva O.E., Avdeyev S.N., Chuchalin A.G. Idiopathic fibrosing alveolitis. Rus. Med. Journ., 1998, vol. 6, no. 4, pp. 228-241. (In Russ.)
3. Ilkovich M.M., Novikova L.N., Dvorakovskaya I.V. et al. Ipiopaticheskiy fibroziruyuschiy alveolit. Disseminirovannye bolezni legkikh. [Idiopathic fibrosing alveolitis. Disseminated lung diseases]. Moscow, 2011, pp. 24-84.
4. Kogan E.A. Kurs lektsiy po patologicheskoy anatomii. [Lectures on pathologic anatomy]. Edited by M.A. Paltsev, Moscow, Russkiy Vrach Publ., 2003, pp. 260-291.
5. Kornev B.M., Moiseyeva S.V. Issues of sarcoidosis diagnostics and treatment in the physician's practice. Terapevt. Arkh., 1988, no. 10, pp. 121-125. (In Russ.)
6. Koroleva M.G., Ilkovich Yu.M. Aspekty geneticheskoy predraspolozhennosti k IZL. Interstitsialnye zabolevaniya legkikh: ruk. dlya vrachey. [Aspects of genetic predisposition to ILD. Interstitial lung diseases: Guidelines for doctors]. Edited by M.M. Ilkovich, A.N. Kokosov, St. Petersburg, 2005, pp. 14-30.
7. Novikova L.N., Akopov A.L., Dvorakovskaya I.V. Printsipy diagnostiki. Disseminirovannye bolezni legkikh. [Diagnostic principles. Disseminated lung diseases]. Edited by M.M. Ilkovich, Moscow, 2011, pp. 14-24.
8. Osadchuk M.A., Usik S.F., Islamova E.A. et al. Pulmonoloiya: uchebnoye posobiye. [Pumonology. Manual]. Moscow, Med. Inform. Agentstvo Publ., 2010, 296 p.
9. Paltsev M.A. Lektsii po obschey patologicheskoy anatomii. [Lectures on general pathologic anatomy]. Moscow, 2003, 254 p.
10. Patterson R., Grammer L.C., Greenberger P.A. Allergic diseases. Diagnosis and management. Lippincott, Raven,1997, 634 p. (Russ. Ed.: Patterson R., Grammer L.C., Greenberger P.A. Allergicheskiye bolezni. Diagnostika i lecheniye. Moscow, GEOTAR Meditsina Publ., 2000, 734 p.)
11. Putov N.V., Ilkovich M.M. Fibroziruyuschiy alveolit. [Fibrosing alveolitis]. Leningrad, Meditsina Publ., 1986, 168 p.
12. Feschenko Yu.I., Gavrisyuk V.K., Monogarova N.E. Idiopathic interstitial pneumonia: classification and differential diagnostics. Ukrainsky Pulmonol. Journ., 2007, no. 2, pp. 5-11. (in Russ.)
13. Chernyak B.A., Trofimenko I.N. Drug induced lung diseases. Consiliummedicum. 2009, vol. 11, no. 11, 14 p.
14. Chernyaev A.L. Diagnostic errors in pulmonology. Pulmonoloiya, 2005, no. 3, pp. 5-11. (In Russ.)
15. Chuchalin A.G. Pulmonoloiya: nats. ruk. [Pulmonology: national guidelines] Moscow, GEOTAR-MEDIA Publ., 2009, pp. 19-27. (In Russ.)
16. Agostini C. et al. New aspects of hypersensitivity pneumonitis. Curr. Opin. Pulm. Med., 2004, vol. 10. pp. 378-382.
17. Barrios R.Y. Hypersensitivity pneumonitis: histopathology review. Arch. Pathol. Lab. Med., 2008, vol. 132, no. 2, pp. 199-203.
18. Churg A. et al. Acute exacerbation (acute lung injury of unknown cause) in UIP and other forms of fibrotic interstitial pneumonias. Am. J. Surg. Pathol., 2007, vol. 31. 277 p.
19. Costabel U., du Bois, Egan J.J. Diffuse parenchymal lung disease. Prog. Respir. Res. Basel. Karger., 2007, vol. 36. pp. 2-10.
20. Fisher D., Lebeau B., Rochemaure J. Sarcoidosis, associated with tuberculosis. A study of seven patients. Sem. Hop., 1979, vol. 55, no. 31-32, pp. 1371-1376.
21. Fraig M. et al. Respiratory bronchitis a clinicopathologicstady in current smokers, ex-smokers, and never-smokers. Am. J. Surg. Pathol., 2002, vol. 26, no. 5, pp. 647-653.
22. Freudenberger T., Raghu J. Idiopathic pulmonary fibrosis: an evolving approach to diagnosis and treatment. Eur. Respir. Monograph Interstitial Lung Diseases. 2000, vol. 5. pp. 177-204.
23. Harbour R., Miller G.A new system for grading recommendations in evidence based guidelines. Br. Med. J., 2001, vol. 323, no. 7308, pp. 334-336.
24. Hunninghake G.W. et al. ATS/ERS/WASOG statement on sarcoidosis. American Thoracic Society/European Respiratory Society/World Association of Sarcoidosis and other Granulomatous Disorders. SarcoidosisVasc. Diffuse Lung Dis., 1999, vol. 16, no. 2, pp. 149-173.
25. Katzenstein A.L. et al. Usual interstitial pneumonia: histologic study of biopsy and explant specimens. Am. J. Surg. Pathol., 2002, vol. 26. pp. 1567-1577.
26. King T.E. Jr. Nonspecific interstitial pneumonia and systemic sclerosis. Am. J. Respir. Crit. Care Med., 2002, vol. 165. pp. 1578-1579.
27. Kondoh Y. et al. Acute exacerbation of interstitial pneumonia following surgical lungbiopsy. Respir. Med., 2006, vol. 100. pp. 1753-1759.
28. Koschel D. et al. Extrinsic allergicalveolitis caused by misting fountains. Respir. Med., 2005, vol. 99, no. 8, pp. 943-947.
29. Leslie K.O. ed. The pathology of idiopathic pulmonary fibrosis. New approaches to managing idiopathic pulmonary fibrosis. American Thoracic Society, 2000. pp. 8-13.
30. Muller-Quernheim J. Sarcoidosis: immunopathogenetic concepts and their clinical application. Eur. Resp. J., 1998, vol. 12. pp. 716-738.
31. Parambil J.G., Myers J.L., Ryu J.H. Histopathologic features and outcome of patients with acute exacerbation of idiopathic pulmonary fibrosis undergoing surgical lung biopsy. Chest, 2005, vol. 128. pp. 3310-3315.
32. Wells A.U. Histopathologic diagnosis in diffuse lung disease: an ailing gold standard. Am. J. Respir. Crit. Care Med., 2004, vol. 170. pp. 828-829.
Review
For citations:
Doroshenkova A.E., Stavitskaya N.V., Smerdin S.V., Frolova T.I., Nurmukhametov E.V. Certain questions of classification and diagnostic problems of interstitial lung diseases. Tuberculosis and Lung Diseases. 2015;(4):10-17. (In Russ.)
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