PMID- 29720509 OWN - NLM STAT- MEDLINE DCOM- 20181009 LR - 20221115 IS - 1600-0617 (Electronic) IS - 0905-9180 (Print) IS - 0905-9180 (Linking) VI - 27 IP - 148 DP - 2018 Jun 30 TI - State of the art in interstitial pneumonia with autoimmune features: a systematic review on retrospective studies and suggestions for further advances. LID - 10.1183/16000617.0139-2017 [doi] LID - 170139 AB - The term interstitial pneumonia with autoimmune features (IPAF) has been proposed to define patients with interstitial lung disease (ILD) associated with autoimmune signs not classifiable for connective tissue diseases (CTDs). This new definition overcomes previous nomenclatures and provides a uniform structure for prospective studies through specific classification criteria.This work evaluates the characteristics of IPAF patients reported in the literature, to highlight potential limits through a comparative analysis and to suggest better performing classification criteria.Four retrospective studies on the IPAF population have been considered. The study subjects differed in age, sex, smoking habit, ILD pattern and outcomes. Another important difference lies in the diverse items considered in the classification criteria. The retrospective design of the studies and the absence from some of them of a rheumatologist clearly involved in the diagnosis may have influenced the data, but current IPAF criteria seem to include a rather heterogeneous population. To overcome these discrepancies, this review suggests a limitation in the use of single items and the exclusion of extremely specific CTD criteria. This should avoid the definition of IPAF for those diseases at different stages or at early onset. The investigation of a functional or morphological cut-off of pulmonary involvement would be useful. CI - Copyright (c)ERS 2018. FAU - Sambataro, Gianluca AU - Sambataro G AD - Regional Referral Centre for Rare Lung Diseases, A.O.U. "Policlinico-Vittorio Emanuele" Dept of Clinical and Experimental Medicine, University of Catania, Catania, Italy. AD - Rheumatology Outpatients, accredited with the National Health System, Artroreuma srl, Mascalucia, CT, Italy. FAU - Sambataro, Domenico AU - Sambataro D AD - Rheumatology Outpatients, accredited with the National Health System, Artroreuma srl, Mascalucia, CT, Italy. FAU - Torrisi, Sebastiano Emanuele AU - Torrisi SE AD - Regional Referral Centre for Rare Lung Diseases, A.O.U. "Policlinico-Vittorio Emanuele" Dept of Clinical and Experimental Medicine, University of Catania, Catania, Italy. FAU - Vancheri, Ada AU - Vancheri A AD - Regional Referral Centre for Rare Lung Diseases, A.O.U. "Policlinico-Vittorio Emanuele" Dept of Clinical and Experimental Medicine, University of Catania, Catania, Italy. FAU - Pavone, Mauro AU - Pavone M AD - Regional Referral Centre for Rare Lung Diseases, A.O.U. "Policlinico-Vittorio Emanuele" Dept of Clinical and Experimental Medicine, University of Catania, Catania, Italy. FAU - Rosso, Roberta AU - Rosso R AD - Regional Referral Centre for Rare Lung Diseases, A.O.U. "Policlinico-Vittorio Emanuele" Dept of Clinical and Experimental Medicine, University of Catania, Catania, Italy. FAU - Schisano, Matteo AU - Schisano M AD - Regional Referral Centre for Rare Lung Diseases, A.O.U. "Policlinico-Vittorio Emanuele" Dept of Clinical and Experimental Medicine, University of Catania, Catania, Italy. FAU - Crimi, Claudia AU - Crimi C AD - Regional Referral Centre for Rare Lung Diseases, A.O.U. "Policlinico-Vittorio Emanuele" Dept of Clinical and Experimental Medicine, University of Catania, Catania, Italy. FAU - Pignataro, Francesca AU - Pignataro F AD - Day Hospital of Rheumatology, Dept of Rheumatology, ASST G. Pini-CTO, Milan, Italy. FAU - Fischer, Aryeh AU - Fischer A AD - Dept of Medicine, University of Colorado School of Medicine, Denver, CO, USA. FAU - Del Papa, Nicoletta AU - Del Papa N AD - Day Hospital of Rheumatology, Dept of Rheumatology, ASST G. Pini-CTO, Milan, Italy. FAU - Vancheri, Carlo AU - Vancheri C AD - Regional Referral Centre for Rare Lung Diseases, A.O.U. "Policlinico-Vittorio Emanuele" Dept of Clinical and Experimental Medicine, University of Catania, Catania, Italy. LA - eng PT - Journal Article PT - Review PT - Systematic Review DEP - 20180502 PL - England TA - Eur Respir Rev JT - European respiratory review : an official journal of the European Respiratory Society JID - 9111391 SB - IM CIN - Eur Respir Rev. 2018 Jun 27;27(148):. PMID: 29950308 MH - Aged MH - *Autoimmunity MH - Female MH - Humans MH - Lung/*immunology/physiopathology MH - Lung Diseases, Interstitial/classification/diagnosis/*immunology/physiopathology MH - Male MH - Middle Aged MH - Predictive Value of Tests MH - Prognosis MH - Retrospective Studies MH - Risk Factors MH - Terminology as Topic PMC - PMC9488748 COIS- Conflict of interest: C. Vancheri reports grants and personal fees from Roche and Boehringer Ingelheim, outside the submitted work. Conflict of interest: A. Fischer reports personal fees (consultancy and steering committee) from Boehringer Ingelheim and F Hoffman La Roche, during the conduct of the study. EDAT- 2018/05/04 06:00 MHDA- 2018/10/10 06:00 PMCR- 2018/05/02 CRDT- 2018/05/04 06:00 PHST- 2017/12/22 00:00 [received] PHST- 2018/03/29 00:00 [accepted] PHST- 2018/05/04 06:00 [entrez] PHST- 2018/05/04 06:00 [pubmed] PHST- 2018/10/10 06:00 [medline] PHST- 2018/05/02 00:00 [pmc-release] AID - 27/148/170139 [pii] AID - ERR-0139-2017 [pii] AID - 10.1183/16000617.0139-2017 [doi] PST - epublish SO - Eur Respir Rev. 2018 May 2;27(148):170139. doi: 10.1183/16000617.0139-2017. Print 2018 Jun 30.