PMID- 31484245 OWN - NLM STAT- MEDLINE DCOM- 20190910 LR - 20190910 IS - 1001-0939 (Print) IS - 1001-0939 (Linking) VI - 42 IP - 9 DP - 2019 Sep 12 TI - [The clinical experience of pirfenidone based on corticosteroids and immunosuppressant treatment for interstitial pneumonia with autoimmune features]. PG - 700-704 LID - 10.3760/cma.j.issn.1001-0939.2019.09.009 [doi] AB - Objective: To explore the effect of pirfenidone in fibrotic interstitial pneumonia with autoimmune features (IPAF) after treatment with corticosteroids and immunosuppressants. Methods: We conducted a retrospective analysis of 2 adult patients with IPAF in the Peking Union Medical College Hospital. As their fibrotic interstitial lung disease failed to improve with further treatment with corticosteroids and immunosuppressants, they were treated with pirfenidone based on corticosteroids and immunosuppressants. Their clinical, chest radiological data and prognosis were collected and relevant literatures were reviewed. Results: One patient was a 43 year old female, the other was a 53 year old male. IPAF was diagnosed with their classic clinical, serological and radiological features. They were partially responded to corticosteroids and immunosuppressants at the initial period. Pirfenidone was suggested for them as their lung fibrosis was not improved further with immunosuppressive therapy. After 4-5 months treatment with pirfenidone, based on corticosteroids and immunosuppressant administration, their clinical and radiological manifestations improved significantly. Conclusions: Pirfenidone might be a good add-on choice for fibrotic IPAF when the disease did not respond well to corticosteroids and immunosuppressants. FAU - Huang, H AU - Huang H AD - Department of Respiratory Medicine, Peking Union Medical College Hospital, Beijing 100730, China. FAU - Sun, Y X AU - Sun YX AD - Department of Respiratory Medicine, Peking Union Medical College Hospital, Beijing 100730, China. FAU - Li, S AU - Li S AD - Department of Respiratory Medicine, Peking Union Medical College Hospital, Beijing 100730, China. FAU - Shao, C AU - Shao C AD - Department of Respiratory Medicine, Peking Union Medical College Hospital, Beijing 100730, China. FAU - Xu, K AU - Xu K AD - Department of Radiology, Peking Union Medical College Hospital, Beijing 100730, China. FAU - Xu, Z J AU - Xu ZJ AD - Department of Respiratory Medicine, Peking Union Medical College Hospital, Beijing 100730, China. LA - chi GR - 81600050/National Nature Science Foundation of China/ GR - 2016YFC0905700/Chinese National Science and Technology Ministry/ GR - 3332016003/Fundamental Research Funds for the Central Universities and the PUMC Youth Fund/ PT - Journal Article PL - China TA - Zhonghua Jie He He Hu Xi Za Zhi JT - Zhonghua jie he he hu xi za zhi = Zhonghua jiehe he huxi zazhi = Chinese journal of tuberculosis and respiratory diseases JID - 8712226 RN - 0 (Adrenal Cortex Hormones) RN - 0 (Anti-Inflammatory Agents, Non-Steroidal) RN - 0 (Immunosuppressive Agents) RN - 0 (Pyridones) RN - D7NLD2JX7U (pirfenidone) SB - IM MH - Adrenal Cortex Hormones/therapeutic use MH - Adult MH - Anti-Inflammatory Agents, Non-Steroidal/*therapeutic use MH - Autoimmune Diseases/*diagnosis MH - Female MH - Humans MH - Idiopathic Pulmonary Fibrosis/diagnosis/*drug therapy MH - Immunosuppressive Agents/therapeutic use MH - Lung Diseases, Interstitial/*diagnosis/*drug therapy MH - Male MH - Middle Aged MH - Pyridones/*therapeutic use MH - Retrospective Studies MH - Treatment Outcome OTO - NOTNLM OT - Fibrotic pattern OT - Interstitial pneumonia with autoimmune feature OT - Pirfenidone EDAT- 2019/09/05 06:00 MHDA- 2019/09/11 06:00 CRDT- 2019/09/05 06:00 PHST- 2019/09/05 06:00 [entrez] PHST- 2019/09/05 06:00 [pubmed] PHST- 2019/09/11 06:00 [medline] AID - 10.3760/cma.j.issn.1001-0939.2019.09.009 [doi] PST - ppublish SO - Zhonghua Jie He He Hu Xi Za Zhi. 2019 Sep 12;42(9):700-704. doi: 10.3760/cma.j.issn.1001-0939.2019.09.009.