Treatment of acute exacerbations of interstitial lung disease.

Abstract:

INTRODUCTION:Interstitial lung diseases (ILD) include a broad range of diffuse parenchymal lung disorders of known and unknown etiologies. Patients with ILD can experience acute exacerbations (AE) which are associated with extremely high morbidity and mortality. Little is known about the etiology of AEs, and whether inciting triggers (such as infection) result in an aberrant inflammatory response in a predisposed host. Areas covered: The majority of data regarding AE-ILD comes from the idiopathic pulmonary fibrosis (IPF) population and is extrapolated to other forms of ILD. For the purposes of this review we have summarized the current literature regarding AE of IPF, and when available have included data from AE of other ILDs. Expert commentary: Therapeutic options for AE are limited without definitive treatments available, and the prognosis is often poor. Treatment is mainly based on correcting hypoxemia, looking for reversible etiologies of respiratory decline, and palliation of symptoms. Overall little is known about the pathogenesis of ILDs and AE-ILD, more research is needed in hopes of identifying better treatment options.

journal_name

Expert Rev Respir Med

authors

Azadeh N,Moua T,Baqir M,Ryu JH

doi

10.1080/17476348.2018.1446831

subject

Has Abstract

pub_date

2018-04-01 00:00:00

pages

309-313

issue

4

eissn

1747-6348

issn

1747-6356

journal_volume

12

pub_type

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