Lege Artis Medicinae

[Multidisciplinarity and pulmonary hypertension in idiopathic pulmonary fibrosis]

BOHÁCS Anikó, KARLÓCAI Kristóf, KERPEL-FRONIUS Anna

SEPTEMBER 20, 2018

Lege Artis Medicinae - 2018;28(08-09)

[Idiopathic pulmonary fibrosis (IPF) is a subgroup of the fibrotising idiopathic interstitial pneumonias occuring primarily in older adults. It is characterised by progressive decline of lung function and is associated with high mortality. IPF is frequently associated with pulmonary hypertension (PH). PH has unfavourable impact on the prognosis of IPF. PH should be suspected in IPF patients presenting with dyspnoe, desaturation on exertion and disproportionately low diffusion capacity. Transthoracic echocardiography is used to screen for PH in IPF patients. Although right heart catheterization is the gold standard procedure for the diagnosis of PH, this is not regularly performed on IPF patients. Chest high resolution computer tomography (HRCT) is essential for the diagnosis of IPF. IPF is typically characterised by the presence of usual interstitial pneumonia (UIP) pattern on HRCT. Multidisciplinary discussion bet­ween experienced pulmonologists, radiologists, and pathologists is key in the early and accurate diagnosis of IPF. An important role of the interstitial lung disease-multidisciplinary team (ILD-MDT) is to determine whether other diagnostic examinations and surgical lung biopsy is needed, in an attempt to reduce unnecessary risk. ILD-MDT should propose the initiation of antifibrotic therapies that have the potential to reduce disease progression. All patients diagnosed with IPF, with no contraindications for lung transplantation, should be referred early to a transplant committee.]

COMMENTS

0 comments

Further articles in this publication

Lege Artis Medicinae

[Jan Veth and his Portraits of Notable Peers ]

NÉMETH István

Lege Artis Medicinae

[The First Mindfulness Conference in Hungary ]

BRYS Zoltán, KIS János Tibor, SIMONCSICS Eszter

Lege Artis Medicinae

[The Janus-faced Princess, or the Secret of Ghosts Emerging from the Depth of the Soul ]

GEREVICH József

Lege Artis Medicinae

[The László Romics Awards – an Acknowledgment by Love ]

KUN J. Viktória

Lege Artis Medicinae

[Saviours, Judases, Philosophists and Physicians The Spinoza Resolution]

KAZAI Anita

All articles in the issue

Related contents

Clinical Oncology

[Pneumonitis - severe adverse effect of therapy]

VÁRNAI Zsuzsanna

[The interstitial lung diseases (ILD) are a heterogeneous group of disorders that are classifi ed together because of similar clinical, radiographic or pathologic manifestation. The diffuse interstitial lung diseases are divided into those that are associated with known causes and that are idiopathic. The treatment choices and prognosis vary among the different causes and types of ILD, so the early and correct diagnosis is important. In oncology ILD could be a rather severe adverse effect of treatment with radiationor chemotherapy.]

Lege Artis Medicinae

[Current status of lung transplantation in Hungary in adults based on gudelines]

LANG György, VADÁSZ Pál, AGÓCS László, CSISZÉR Eszter, CZEBE Krisztina, KLEPETKO Walter

[During the last decade lung transplantation became an accepted treatment option for endstage lung disease of different origin. Technical problems of the early period have been solved completely during the course of time and the operation has found its place as a routine procedure. The shortage of donor lungs has stimulated the development of new operative techniques. Parallel to achievements in surgical treatment, significant progress in immunosuppressive therapy was obtained. Long-term survival following lung transplantation however remains limited by the onset of bronchiolitis obliterans syndrome. Since Vienna serves as a leading centre for lung transplantation in Middle-Europe, between 05/03/1996 and 17/01/2003 21 Hungarian patients underwent lung transplantation here. In close co-operation with the Vienna Lung Transplant Group, the Hungarian specialists prepare for introduction of lung transplantation in Hungary.]

Hypertension and nephrology

[About the care of patients with hyperuricaemia and gout]

[This consensus document is intended to provide guidance for the effective and efficient treatment of asymptomatic individuals with high uric acid levels and gout patients.]