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An official European Respiratory Society/American Thoracic Society research statement: interstitial pneumonia with autoimmune features

Aryeh Fischer, Katerina M. Antoniou, Kevin K. Brown, Jacques Cadranel, Tamera J. Corte, Roland M. du Bois, Joyce S. Lee, Kevin O. Leslie, David A. Lynch, Eric L. Matteson, Marta Mosca, Imre Noth, Luca Richeldi, Mary E. Strek, Jeffrey J. Swigris, Athol U. Wells, Sterling G. West, Harold R. Collard, Vincent Cottin on behalf of the “ERS/ATS Task Force on Undifferentiated Forms of CTD-ILD”
European Respiratory Journal 2015 46: 976-987; DOI: 10.1183/13993003.00150-2015
Aryeh Fischer
1Dept of Medicine, University of Colorado School of Medicine, Denver, CO, USA
17Task force chair
18Members of the writing group of the task force
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  • For correspondence: aryeh.fischer@ucdenver.edu
Katerina M. Antoniou
2Thoracic Medicine, University of Crete, Heraklion, Greece
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Kevin K. Brown
3Dept of Medicine, National Jewish Health, Denver, CO, USA
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Jacques Cadranel
4Pneumologie, Hopital Tenon, Paris, France
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Tamera J. Corte
5The Aldred Hospital, Melbourne, Australia
18Members of the writing group of the task force
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Roland M. du Bois
6Interstitial Lung Disease Unit, Dept of Occupational Medicine, Royal Brompton Hospital, London, UK
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Joyce S. Lee
7Medicine, University of California San Francisco, San Francisco, CA, USA
18Members of the writing group of the task force
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Kevin O. Leslie
8Pathology, Mayo Clinic, Scottsdale, AZ, USA
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David A. Lynch
9Dept of Radiology, National Jewish Health, Denver, CO, USA
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Eric L. Matteson
10Division of Rheumatology, Mayo College of Medicine, Rochester, MN, USA
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Marta Mosca
11University of Pisa, Pisa, Italy
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Imre Noth
12Medicine, University of Chicago, Chicago, IL, USA
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Luca Richeldi
13Southampton General Hospital, Southampton, UK
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Mary E. Strek
12Medicine, University of Chicago, Chicago, IL, USA
18Members of the writing group of the task force
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Jeffrey J. Swigris
3Dept of Medicine, National Jewish Health, Denver, CO, USA
18Members of the writing group of the task force
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Athol U. Wells
14Interstitial Lung Disease Unit, Royal Brompton Hospital, London, UK
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Sterling G. West
15University of Colorado School of Medicine, Aurora, CO, USA
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Harold R. Collard
7Medicine, University of California San Francisco, San Francisco, CA, USA
18Members of the writing group of the task force
19Task force vice-chairs, and contributed equally to this manuscript
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Vincent Cottin
16Service de Pneumologie, Hopital L. Pradel, Lyon, France
18Members of the writing group of the task force
19Task force vice-chairs, and contributed equally to this manuscript
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Abstract

Many patients with an idiopathic interstitial pneumonia (IIP) have clinical features that suggest an underlying autoimmune process but do not meet established criteria for a connective tissue disease (CTD). Researchers have proposed differing criteria and terms to describe these patients, and lack of consensus over nomenclature and classification limits the ability to conduct prospective studies of a uniform cohort.

The “European Respiratory Society/American Thoracic Society Task Force on Undifferentiated Forms of Connective Tissue Disease-associated Interstitial Lung Disease” was formed to create consensus regarding the nomenclature and classification criteria for patients with IIP and features of autoimmunity.

The task force proposes the term “interstitial pneumonia with autoimmune features” (IPAF) and offers classification criteria organised around the presence of a combination of features from three domains: a clinical domain consisting of specific extra-thoracic features, a serologic domain consisting of specific autoantibodies, and a morphologic domain consisting of specific chest imaging, histopathologic or pulmonary physiologic features.

A designation of IPAF should be used to identify individuals with IIP and features suggestive of, but not definitive for, a CTD. With IPAF, a sound platform has been provided from which to launch the requisite future research investigations of a more uniform cohort.

Abstract

ERS/ATS task force provides nomenclature and classification criteria for patients with IIP and autoimmune features http://ow.ly/O7qao

Footnotes

  • This article has supplementary material available from erj.ersjournals.com

  • Conflict of interest: Disclosures can be found alongside the online version of this article at erj.ersjournals.com

  • Support statement: Support for this task force was provided by the European Respiratory Society and the American Thoracic Society. Funding information for this article has been deposited with FundRef.

  • Received January 27, 2015.
  • Accepted May 11, 2015.
  • Copyright ©ERS 2015
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An official European Respiratory Society/American Thoracic Society research statement: interstitial pneumonia with autoimmune features
Aryeh Fischer, Katerina M. Antoniou, Kevin K. Brown, Jacques Cadranel, Tamera J. Corte, Roland M. du Bois, Joyce S. Lee, Kevin O. Leslie, David A. Lynch, Eric L. Matteson, Marta Mosca, Imre Noth, Luca Richeldi, Mary E. Strek, Jeffrey J. Swigris, Athol U. Wells, Sterling G. West, Harold R. Collard, Vincent Cottin
European Respiratory Journal Oct 2015, 46 (4) 976-987; DOI: 10.1183/13993003.00150-2015

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An official European Respiratory Society/American Thoracic Society research statement: interstitial pneumonia with autoimmune features
Aryeh Fischer, Katerina M. Antoniou, Kevin K. Brown, Jacques Cadranel, Tamera J. Corte, Roland M. du Bois, Joyce S. Lee, Kevin O. Leslie, David A. Lynch, Eric L. Matteson, Marta Mosca, Imre Noth, Luca Richeldi, Mary E. Strek, Jeffrey J. Swigris, Athol U. Wells, Sterling G. West, Harold R. Collard, Vincent Cottin
European Respiratory Journal Oct 2015, 46 (4) 976-987; DOI: 10.1183/13993003.00150-2015
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