%0 Journal Article %A Neeraj Gupta %A Nishtha Singh %A Suresh Jangir %A Vikas Mishra %A Rajveer Kuldeep %T COPD; IPF; lung cancer in same individual: Can it be called 'AJMERITES SYNDROME? %D 2013 %J European Respiratory Journal %P P3664 %V 42 %N Suppl 57 %X This case is being reported by city of Ajmer (India). The associations between COPD and IPF, IPF and lung cancer, COPD and lung cancer are well known. We report a patient with all three diseases together, DOES IT MAKE A SYNDROME!Presence of all three entities in a single patient lacks in literature.It may be a part of same pathogenic process and must be called a syndrome,The Ajmerite Syndrome!A 55 year male smoker, railway employee presented with history of breathlessness of 12 months duration, more for last 2 days. Chest radiograph revealed mass in left lower lobe. CT chest revealed presence of emphysematous bullae in both upper lobes, mass lesion in left lower lobe and evidence of honeycombing in basal lung regions suggestive of UIP pattern and pleural effusion. His diagnosis was made by transthoracic lung biopsy which suggested evidence of Adenocarcinoma. Presence of all three entities in a single patient prompted us to report this case.Probable involvement of common pathogenic pathways like Epithelial Mesenchymal Transition(EMT) may be the key factor in pathogenesis of all three disease entity in same individual. Exploration of such mechanism in these cases may help a lot in targeting therapy for all three diseases with a syndromic approach. %U https://erj.ersjournals.com/content/erj/42/Suppl_57/P3664.full.pdf