{"id":91470,"date":"2023-07-13T16:18:35","date_gmt":"2023-07-13T06:18:35","guid":{"rendered":"https:\/\/lungfoundation.com.au\/?page_id=91470"},"modified":"2023-08-22T08:47:53","modified_gmt":"2023-08-21T22:47:53","slug":"overview","status":"publish","type":"page","link":"https:\/\/lungfoundation.com.au\/health-professionals\/conditions\/interstitial-lung-disease\/overview\/","title":{"rendered":"Overview"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"author":482,"featured_media":87839,"parent":91487,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-91470","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Overview - Lung Foundation Australia<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/lungfoundation.com.au\/health-professionals\/conditions\/interstitial-lung-disease\/overview\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Overview - 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The information has been developed by health professionals from the Centre of Research Excellence in Pulmonary Fibrosis. It is a general guide and does not replace specialist knowledge or individualised patient care. ","link":""},{"acf_fc_layout":"wysiwyg_content_area","heading":"","content":"<p>Interstitial Lung Diseases (ILDs) are a complex group of more than 200 diseases characterised by some degree of fibrosis and\/or inflammation of the lung interstitium. This may result in physiological impairment, causing significant morbidity and mortality. There is a wide spectrum of ILD, and heterogeneity of disease course, with some patients having stable disease, and others progressing very quickly to respiratory failure and death.<\/p>\n<p>While individual ILDs may be considered rare, as a group, prevalence is estimated at around 70-100 per 100,000, and this is increasing year by year.<\/p>\n","link":""},{"acf_fc_layout":"column_content","columns":[{"column_type":"text","heading_text":"Interstitial Lung Diseases (ILD) or Pulmonary Fibrosis (PF)?","paragraph_text":"<p>ILD is the clinically appropriate term for this group of diseases. Pulmonary fibrosis (PF) is a commonly used umbrella term for the large proportion of ILD\u2019s which are characterised by fibrosis or scarring in the lung parenchyma. Note that we use the term PF in all resources and content developed for patients as the better lay term and more commonly understood name for the group of conditions.<\/p>\n","button_display_setting":false,"button":{"":null,"button_type":"Link Button","link":null,"email":"","file":false,"modal_trigger":"","button_text":""},"background_colour":"transparent","column_image":false,"youtube_video_url":""},{"column_type":"text","heading_text":"Types of ILD","paragraph_text":"<p>ILD may be idiopathic (otherwise known as the group of idiopathic interstitial pneumonias), or associated with exposure to drugs or environmental triggers, or underlying connective tissue disease. Types and classification of ILDs are summarised in the table below. More is now known about genetic causes of ILD. While this is rare, ILD may be familial, and can be associated with short telomere syndromes which also can have other clinical manifestations. Referral to an ILD specialist centre with genetic testing is advisable in younger patients or patients with a family history of ILD or extrapulmonary features of telomeropathies.<\/p>\n","button_display_setting":false,"button":{"":null,"button_type":"Link Button","link":null,"email":"","file":false,"modal_trigger":"","button_text":""},"background_colour":"transparent","column_image":false,"youtube_video_url":""}]},{"acf_fc_layout":"wysiwyg_content_area","heading":"","content":"<h5>Table: Types and classification of the most common Interstitial Lung Diseases (ILDs)<\/h5>\n<table style=\"font-weight: 400\" border=\"solid\" data-tablestyle=\"MsoTableGrid\" data-tablelook=\"1184\">\n<tbody>\n<tr>\n<td style=\"text-align: center\" colspan=\"4\" data-celllook=\"0\"><b><span data-contrast=\"none\">Interstitial Lung Diseases (ILDs)<\/span><\/b><\/td>\n<\/tr>\n<tr>\n<td data-celllook=\"0\"><b><span data-contrast=\"none\">ILDs of known association<\/span><\/b><\/td>\n<td data-celllook=\"0\"><b><span data-contrast=\"none\">Granulomatous ILDs<\/span><\/b><\/td>\n<td data-celllook=\"0\"><b><span data-contrast=\"none\">Idiopathic interstitial pneumonias (IIPs)<\/span><\/b><\/td>\n<td data-celllook=\"0\"><b><span data-contrast=\"none\">Miscellaneous ILDs<\/span><\/b><\/td>\n<\/tr>\n<tr>\n<td colspan=\"1\" rowspan=\"3\" data-celllook=\"0\">\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"42\"><span data-contrast=\"none\">Connective tissue disease<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"42\"><span data-contrast=\"none\">Drugs (e.g. nitrofurantoin)<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"42\"><span data-contrast=\"none\">Occupational exposures<\/span><\/li>\n<\/ul>\n<\/td>\n<td colspan=\"1\" rowspan=\"3\" data-celllook=\"0\">\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"42\">Sarcoidosis<\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"42\"><span data-contrast=\"none\">Hypersensitivity pneumonitis<\/span><\/li>\n<\/ul>\n<\/td>\n<td data-celllook=\"0\"><b><span data-contrast=\"none\">Major IIPs<\/span><\/b><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"43\">Idiopathic pulmonary fibrosis (IPF)<\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"43\"><span data-contrast=\"none\">Non-specific interstitial pneumonia<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"43\"><span data-contrast=\"none\">Cryptogenic organising pneumonia<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"43\"><span data-contrast=\"none\">Respiratory bronchiolitis ILD<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"43\"><span data-contrast=\"none\">Desquamative interstitial pneumonia<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"43\"><span data-contrast=\"none\">Acute interstitial pneumonia<\/span><\/li>\n<\/ul>\n<\/td>\n<td colspan=\"1\" rowspan=\"3\" data-celllook=\"0\">\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"43\"><span data-contrast=\"none\">Lymphangioleiomyomatosis (LAM)<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"43\"><span data-contrast=\"none\">Pulmonary Langerhans cell histiocytosis (histiocytosis X)<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td data-celllook=\"0\"><b><span data-contrast=\"none\">Rare IIPs<\/span><\/b><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"43\"><span data-contrast=\"none\">Lymphocytic interstitial pneumonia<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"43\"><span data-contrast=\"none\">Idiopathic pleuro-parenchymal fibroelastosis<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td data-celllook=\"0\"><b><span data-contrast=\"none\">Unclassifiable<\/span><\/b><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n","link":""},{"acf_fc_layout":"helpful_links","heading":"Helpful links - ILD overview","image_display_setting":false,"links_list":[{"image":false,"title":"Contemporary Concise Review 2021: Interstitial lung disease","description":"<p>The last 2\u2009years have presented previously unforeseen challenges in pulmonary medicine. Despite the significant impact of the SARS-CoV-2 pandemic on patients, clinicians and communities, advances in the care and understanding of interstitial lung disease (ILD) continued unabated. <\/p>\n","link_url":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/resp.14278"},{"image":false,"title":"RACGP - Interstitial lung disease in 2015: where are we now?","description":"<p>This article discusses recent advances in the field of ILD, including updated classification, diagnostic approach and break-through therapies.<\/p>\n","link_url":"https:\/\/www.racgp.org.au\/afp\/2015\/august\/interstitial-lung-disease-in-2015-where-are-we-now"},{"image":false,"title":"American Thoracic Society \u2013 IPF Primer","description":"<p>Guidelines for the diagnosis and management of idiopathic pulmonary fibrosis.<\/p>\n","link_url":"https:\/\/www.thoracic.org\/education-center\/ild\/pdf\/ATS%20Pocket%20Guide_v1.pdf"},{"image":false,"title":"American Thoracic Society - Connective Tissue-Related Interstitial Lung Disease Primer","description":"<p>This primer will focus on the general features of CTD-ILDs along with distinct features noted in RA, SSc, and IIM-associated ILD.<\/p>\n","link_url":"https:\/\/www.thoracic.org\/education-center\/ild\/pdf\/2020_ats_ctd-ild_v13_web.pdf"},{"image":false,"title":"American Thoracic Society - Progressive Fibrosing Interstitial Lung Disease Primer","description":"<p>Pocket guide to progressive-fibrosing interstitial lung diseases.<\/p>\n","link_url":"https:\/\/www.thoracic.org\/education-center\/ild\/pdf\/2020_ats_pf-ild_v13_web.pdf"}]},{"acf_fc_layout":"accordion","heading":"","display_settings":"none","accordion":[{"letter":"","title":"Reference list","text":"<p>Jo*, H. E., et al. (2018). &#8220;Diagnosis and management of idiopathic pulmonary fibrosis: Thoracic Society of Australia and New Zealand and Lung Foundation Australia position statements summary.&#8221; Medical Journal of Australia <strong>208<\/strong>(2): 82-88.<\/p>\n<p>Kolb, M. and M. Va\u0161\u00e1kov\u00e1 (2019). &#8220;The natural history of progressive fibrosing interstitial lung diseases.&#8221; Respir Res <strong>20<\/strong>(1): 57.<\/p>\n<p>Lederer, D. J. and F. J. Martinez (2018). &#8220;Idiopathic Pulmonary Fibrosis.&#8221; N Engl J Med <strong>378<\/strong>(19): 1811-1823.<\/p>\n<p>Lynch, D. A., et al. (2018). &#8220;Diagnostic criteria for idiopathic pulmonary fibrosis: a Fleischner Society White Paper.&#8221; Lancet Respir Med <strong>6<\/strong>(2): 138-153.<\/p>\n<p>Prasad, J. D., et al. (2017). &#8220;The interstitial lung disease multidisciplinary meeting: A position statement from the Thoracic Society of Australia and New Zealand and the Lung Foundation Australia.&#8221; Respirology <strong>22<\/strong>(7): 1459-1472.<\/p>\n<p>Raghu, G., et al. (2018). &#8220;Diagnosis of Idiopathic Pulmonary Fibrosis. An Official ATS\/ERS\/JRS\/ALAT Clinical Practice Guideline.&#8221; Am J Respir Crit Care Med <strong>198<\/strong>(5): e44-e68.<\/p>\n<p>Troy, L. and T. J. Corte (2015). &#8220;Interstitial lung disease in 2015: where are we now?&#8221; Australian Journal for General Practitioners <strong>44<\/strong>(8): 546-552.<\/p>\n<p>Wells, A. U., et al. (2018). &#8220;What&#8217;s in a name? That which we call IPF, by any other name would act the same.&#8221; Eur Respir J <strong>51<\/strong>(5).<\/p>\n"}]},{"acf_fc_layout":"wysiwyg_content_area","heading":"","content":"<p><em>Content and expert review for these Interstitial Lung Disease webpages was contributed by: Prof Tamera Corte, A\/Prof Nicole Goh, Prof Anne Holland, A\/Prof Yet Khor, Dr Robert Sheehy, Ms Karen Symons and Dr Alan Teoh.<\/em><\/p>\n","link":""}]},"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/lungfoundation.com.au\/wp-json\/wp\/v2\/pages\/91470","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/lungfoundation.com.au\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/lungfoundation.com.au\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/lungfoundation.com.au\/wp-json\/wp\/v2\/users\/482"}],"replies":[{"embeddable":true,"href":"https:\/\/lungfoundation.com.au\/wp-json\/wp\/v2\/comments?post=91470"}],"version-history":[{"count":10,"href":"https:\/\/lungfoundation.com.au\/wp-json\/wp\/v2\/pages\/91470\/revisions"}],"predecessor-version":[{"id":91766,"href":"https:\/\/lungfoundation.com.au\/wp-json\/wp\/v2\/pages\/91470\/revisions\/91766"}],"up":[{"embeddable":true,"href":"https:\/\/lungfoundation.com.au\/wp-json\/wp\/v2\/pages\/91487"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/lungfoundation.com.au\/wp-json\/wp\/v2\/media\/87839"}],"wp:attachment":[{"href":"https:\/\/lungfoundation.com.au\/wp-json\/wp\/v2\/media?parent=91470"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}