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Clinical, radiological, and pathological evaluation of “NSIP with OP overlap” pattern compared with NSIP in patients with idiopathic interstitial pneumonias
http://hdl.handle.net/10271/00003930
http://hdl.handle.net/10271/0000393002b41329-804d-4de8-9718-0fb1d5389858
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
Respir Med-174-106201.pdf (8.0 MB)
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| Item type | 学術雑誌論文 / Journal Article(1) | |||||||||||||||||||||
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| 公開日 | 2022-01-01 | |||||||||||||||||||||
| タイトル | ||||||||||||||||||||||
| タイトル | Clinical, radiological, and pathological evaluation of “NSIP with OP overlap” pattern compared with NSIP in patients with idiopathic interstitial pneumonias | |||||||||||||||||||||
| 言語 | ||||||||||||||||||||||
| 言語 | eng | |||||||||||||||||||||
| キーワード | ||||||||||||||||||||||
| 主題 | idiopathic interstitial pneumonia | |||||||||||||||||||||
| キーワード | ||||||||||||||||||||||
| 主題 | interstitial pneumonia with autoimmune features | |||||||||||||||||||||
| キーワード | ||||||||||||||||||||||
| 主題 | nonspecific interstitial pneumonia | |||||||||||||||||||||
| キーワード | ||||||||||||||||||||||
| 主題 | organizing pneumonia | |||||||||||||||||||||
| キーワード | ||||||||||||||||||||||
| 主題 | unclassifiable interstitial pneumonia | |||||||||||||||||||||
| 資源タイプ | ||||||||||||||||||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||||||||||||||||||
| 資源タイプ | journal article | |||||||||||||||||||||
| その他のタイトル | ||||||||||||||||||||||
| その他のタイトル | NSIP with OP overlap in IIPs | |||||||||||||||||||||
| 著者 |
Enomoto, Noriyuki
× Enomoto, Noriyuki
× Sumikawa, Hiromitsu
× Sugiura, Hiroaki
× Kitani, Masashi
× Tanaka, Tomonori
× Hozumi, Hironao
× Fujisawa , Tomoyuki
× Suda, Takafumi
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| 書誌情報 |
Respiratory Medicine 巻 174, p. 106201, 発行日 2020 |
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| 出版者 | ||||||||||||||||||||||
| 出版者 | Elsevier | |||||||||||||||||||||
| 権利 | ||||||||||||||||||||||
| 権利情報 | ©2020. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/ | |||||||||||||||||||||
| 権利 | ||||||||||||||||||||||
| 権利情報 | This is the accepted manuscript version. The formal published version is available at "https://10.1016/j.rmed.2020.106201". | |||||||||||||||||||||
| 抄録 | ||||||||||||||||||||||
| 内容記述タイプ | Abstract | |||||||||||||||||||||
| 内容記述 | Background: Nonspecific interstitial pneumonia (NSIP) and organizing pneumonia (OP) are major subtypes of idiopathic interstitial pneumonias (IIPs) and closely related to connective tissue diseases (CTDs). “NSIP with OP overlap” is a controversial finding that has recently appeared in the criteria of interstitial pneumonia with autoimmune features (IPAF). However, details of this controversial entity are not well known. Objective: To determine the frequency of “NSIP with OP overlap” pattern in IIPs and to identify differences from idiopathic NSIP (iNSIP). Methods: In 524 patients with interstitial pneumonia from 39 institutes who underwent surgical lung biopsy, 444 were diagnosed as IIPs by a multidisciplinary discussion meeting via a cloud-based integrated database. Among these patients, 44 (9.9%) who had iNSIP and 21 (4.7%) with histopathologically-defined “NSIP with OP overlap” pattern (a pathological NSIP and OP pattern, but without a UIP pattern) were retrospectively studied. Results: Patients with “NSIP with OP overlap” pattern showed a significantly greater extent of consolidation (p<0.001), more subpleural ground glass attenuation (p=0.036), and more peripheral+bronchovascular distribution (p=0.009) on high-resolution computed tomography than those with iNSIP. The incidences of newly-developed CTDs during follow-up was similar between the groups and polymyositis/dermatomyositis was the most frequent CTD in both groups. Nearly half of the patients fulfilled IPAF criteria, but no significant difference was found between iNSIP and “NSIP with OP overlap” pattern (47.7% vs. 42.9, p=0.712). The incidence of acute exacerbation and the survival rates were similar between the groups. Conclusions: The incidence of “NSIP with OP overlap” pattern is 4.7% in IIPs. The frequency of newly-developed CTDs during follow-up, mainly polymyositis/dermatomyositis, the frequency of acute exacerbation, and the survival rate in “NSIP with OP overlap” pattern are similar to those of iNSIP. |
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| 抄録 | ||||||||||||||||||||||
| 内容記述タイプ | Abstract | |||||||||||||||||||||
| 内容記述 | Highlights ・A controversial disease entity of “NSIP with OP overlap” pattern attracts attention in IPAF criteria. ・In 444 patients with IIPs, 21 (4.7%) were classified as histopathologically-defined “NSIP with OP overlap” pattern. ・The frequency of CTDs, mainly PM/DM, and that of acute exacerbation in “NSIP with OP overlap” pattern were similar to those of idiopathic NSIP. ・Prognosis in patients with “NSIP with OP overlap” pattern was favorable and also similar to that of idiopathic NSIP. |
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| 注記 | ||||||||||||||||||||||
| 内容記述 | 発行年：2020年11-12月 | |||||||||||||||||||||
| ISSN | ||||||||||||||||||||||
| 収録物識別子タイプ | ISSN | |||||||||||||||||||||
| 収録物識別子 | 0954-6111 | |||||||||||||||||||||
| EISSN | ||||||||||||||||||||||
| 収録物識別子タイプ | ISSN | |||||||||||||||||||||
| 収録物識別子 | 1532-3064 | |||||||||||||||||||||
| PubMed番号 | ||||||||||||||||||||||
| 関連タイプ | isVersionOf | |||||||||||||||||||||
| 識別子タイプ | PMID | |||||||||||||||||||||
| 関連識別子 | 33120192 | |||||||||||||||||||||
| 出版社DOI | ||||||||||||||||||||||
| 関連タイプ | isVersionOf | |||||||||||||||||||||
| 識別子タイプ | DOI | |||||||||||||||||||||
| 関連識別子 | 10.1016/j.rmed.2020.106201 | |||||||||||||||||||||
| 著者版フラグ | ||||||||||||||||||||||
| 出版タイプ | AM | |||||||||||||||||||||
| 出版タイプResource | http://purl.org/coar/version/c_ab4af688f83e57aa | |||||||||||||||||||||
