O QUE O RADIOLOGISTA PRECISA SABER SOBRE A PNEUMONIA INTERSTICIAL USUAL E A PNEUMONIA INTERSTICIAL NÃO ESPECÍFICA

• DOI: 10.22533/at.ed.3761925101215

• Palavras-chave: PIU, PINE, intersticial, pneumonia, pulmão.

• Keywords: UIP, NSIP, interstitial, pneumonia, lung

• Abstract:

  The Usual Intersticial Pneumonia (UIP) and Non Specific Intersticial

  Pneumonia(NSIP) are part of the Idiopathic Interstitial Pneumonias(IIP), group of

  parenchymal lung diseases which are characterized by the presence of various

  degrees of inflammation and fibrosis. Symptoms of both conditions are characterized

  by dry cough and progressive dyspnea, more subtle in NSIP patients. The UIP is the

  most common type of IIP, affecting patients older than 50 years old, mainly smokers.

  It has a poorer prognosis ( 2,5 to 4 years after the diagnosis). The NSIP affects mostly

  non-smoker women and presents a 5 year survival rate in most pacients. In contrast

  to UIP, NSIP responds well to the use of high doses of corticosteroids. In this paper,

  the scientific literature which refers to this subject was consulted. Also a comparison

  between diagnosed cases in a specific service health. An accurate IIP diagnosis

  requires a thourough evaluation of clinical, histological and image data. The high

  resolution computed tomography (CT) is the state-of-the-art of imaging evaluation of

  those conditions, representind a non-invasive method beside good relation with the

  histological findings.The differences between the therapeutical responses and the

  prognosis of the diseases studied in this paper make the histological pattern description

  important to the care of those patients. Thus, having the CT as the state-of-the-art exam,

  the radiologist physician have to know the image features. The ultimate diagnosis also

  includes athourough clinical history evaluation and the analysis of histologic features.

• Número de páginas: 10