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Interstitial lung disease is a group of disorders that involve pulmonary [[parenchyma]]. The exact pathogenesis of these disorders is not fully understood. There are multiple initiating factors that cause [[pulmonary]] injury. However, immunopathogenic responses of [[lung]] tissue are quite similar. There are two major histopathologic patterns in response to [[lung]] injury which include [[inflammation]], [[fibrosis]] and [[Granuloma|granulomatous]] response. Interstitial lung disease may be classified into several subtypes based on the lung response to [[tissue]] injury and their causes. The exact underlying cause of interstitial lung disease might be well known such as toxic [[Environmental Health Perspectives|environmental]] or [[Occupational Health|occupational]] exposure, [[Smoking|cigarette smoking]], and [[Radiation therapy|radiation]]. The other causes of interstitial lung disease are idiopathic.
 
 
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== Pulmonary alveolar proteinosis ==
Pulmonary alveolar proteinosis (PAP) is a rare lung disease that is characterized by the intra-alveolar accumulation of [[Pulmonary surfactant|surfactant]] phospholipid and [[apoproteins]]. 
* The main pathogenesis of pulmonary alveolar proteinosis is a reduction in [[granulocyte-macrophage colony-stimulating factor]] ([[Granulocyte macrophage colony stimulating factor|GM-CSF]]) levels or function and/or impaired alveolar [[macrophage]] function.
*  Terminal [[Bronchiole|bronchioles]] and [[Pulmonary alveolus|alveoli]] are filled with a lipoproteinaceous material that will be [[Periodic acid-Schiff stain|periodic acid-Schiff]] ([[Periodic acid-Schiff stain|PAS]]) stain positive.
* The exact etiology of pulmonary alveolar proteinosis is unknown.
* If left untreated, patients with pulmonary alveolar proteinosis may progress to develop pulmonary [[fibrosis]] or [[Right heart failure|cor pulmonale]].
'''For more information about pulmonary alveolar proteinosis, [[Pulmonary alveolar proteinosis|click here]].'''
== Lymphocytic infiltrative disorders ==
Lymphocytic infiltrative disorders might cause interstitial lung disease in mostly [[Human Immunodeficiency Virus (HIV)|HIV]] positive children.
* There are two main manifestation of lymphocytic infiltrative disorders that include:
 
** [[Lymphocytic interstitial pneumonia|Lymphocytic interstitial pneumonitis]]
** Pulmonary lymphomatoid granulomatosis
* The etiology of lymphocytic infiltrative disorders is unknown. However, there is an evidence of infectious cause such as [[Epstein Barr virus|EBV]] in [[Human Immunodeficiency Virus (HIV)|HIV]] positive patients.
'''For more information about lymphocytic interstitial pneumonitis, [[Lymphocytic interstitial pneumonitis|click here]].'''
 
== Pulmonary lymphangioleiomyomatosis ==
== Pulmonary lymphangioleiomyomatosis ==
Lymphangiomyocytosis is defined as a multifocal neoplasm with differentiation of the perivascular epithelioid cell that involves multiple organs.<ref name="pmid29487252">{{cite journal |vauthors=Verma AK, Joshi A, Mishra AR, Kant S, Singh A |title=Pulmonary lymphangioleiomyomatosis presenting as spontaneous pneumothorax treated with sirolimus - A case report |journal=Lung India |volume=35 |issue=2 |pages=154–156 |date=2018 |pmid=29487252 |doi=10.4103/lungindia.lungindia_60_17 |url=}}</ref>
* Lymphangiomyomatosis is the result of disorderly [[smooth muscle]] proliferation throughout the [[Bronchiole|bronchioles]], [[Alveolus|alveolar]] septa, perivascular spaces, and [[Lymphatic system|lymphatics]], resulting in the obstruction of small airways (leading to pulmonary [[cyst]] formation and [[pneumothorax]]) and [[Lymphatic system|lymphatics]] (leading to [[Chyle|chylous]] [[pleural effusion]]).
* [[LAM]] occurs in a sporadic form, which only affects females, who are usually of childbearing age.
'''For more information about pulmonary lymphangioleiomyomatosis, [[Lymphangiomyomatosis|click here]].'''
'''For more information about pulmonary lymphangioleiomyomatosis, [[Lymphangiomyomatosis|click here]].'''



Revision as of 13:44, 14 March 2018

Pulmonary lymphangioleiomyomatosis

Lymphangiomyocytosis is defined as a multifocal neoplasm with differentiation of the perivascular epithelioid cell that involves multiple organs.[1]

For more information about pulmonary lymphangioleiomyomatosis, click here.

Pulmonary hemorrhage syndromes

  • Goodpasture syndrome
  • Idiopathic pulmonary hemosiderosis
  • Isolated pulmonary capillaritis

Granulomatous lung response

  • Hypersensitivity pneumonitis 
  • Sarcoidosis
  • Granulomatous vasculitides
    • Granulomatosis with polyangiitis (Wegener)
    • Eosinophilic granulomatosis with polyangiitis (ChurgStrauss)
  • Bronchocentric granulomatosis

For more information about hypersensitivity pneumonitis, click here.

Interstitial lung disease associated with systemic diseases

Interstitial lung disease associated with connective tissue diseases

  • Systemic lupus erythematosus
  • Rheumatoid arthritis
  • Ankylosing spondylitis
  • Systemic sclerosis
  • Sjögren syndrome
  • Polymyositis/dermatomyositis
  • Granulomatosis with polyangiitis (Wegener)
  • Eosinophilic granulomatosis with polyangiitis (Churg Strauss)

Interstitial lung disease associated with inherited diseases

  • Tuberous sclerosis
  • Neurofibromatosis
  • Niemann−Pick disease
  • Gaucher disease
  • Hermansky−Pudlak syndrome

Interstitial lung disease associated with gastrointestinal or liver diseases

  • Crohn disease
  • Primary biliary cirrhosis
  • Chronic active hepatitis
  • Ulcerative colitis

Interstitial lung disease associated with graft−versus−host disease

  • Bone marrow transplantation
  • Solid organ transplantation

References

  1. Verma AK, Joshi A, Mishra AR, Kant S, Singh A (2018). "Pulmonary lymphangioleiomyomatosis presenting as spontaneous pneumothorax treated with sirolimus - A case report". Lung India. 35 (2): 154–156. doi:10.4103/lungindia.lungindia_60_17. PMID 29487252.