usual interstitial pneumonia (UIP)
aka: idiopathic pulmonary fibrosis (IPF)
- 5-6th decade; M:F = 1:1
- clubbing of fingers (83%)
- monocytosis/lymphocytosis on lavage
- increased occurence of bronchogenic CA
- average survival of 4-6 years; 87% mortality
CXR findings:
- occasional ground glass pattern in early stage of alveolitis
- diffuse reticulations (60%) predominantly at bases
- honeycombing
- pleural effusion (4%); pleural thickening (6%)
- pneumothorax in 7% (late stage)
- progressive volume loss
HRCT findings:
- basilar predominance, subpleural distribution
- ground glass infiltrates in active disease
- septal thickening and distortion
- honeycombing
- traction bronchiectasis
see: interstitial pulmonary fibrosis
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© 2002, C.E. Kahn, Jr.
2002-04-18