Histopathology and exercise: A winning combination in pulmonary fibrosis: A case report

Viviana Pisano, Salvatore Fuschillo, Giovanni Balzano

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

The diffuse parenchymal lung diseases form a heterogeneous group of disorders characterized by varying degrees of inflammation and fibrosis involving the space between epithelial and endothelial basement membranes. Among the diffuse parenchymal lung diseases of unknown etiology, one of the most common is usual interstitial pneumonia/idiopathic pulmonary fibrosis, which carries the worst prognosis. In contrast, nonspecific interstitial pneumonia, which belongs to the same diffuse parenchymal lung disease group, has a more favorable prognosis. Based on the relative amount of inflammation and fibrosis observed on lung biopsies, at least 2 nonspecific interstitial pneumonia patterns have been suggested: cellular and fibrosing. The long-term prognosis is excellent for patients with nonspecific interstitial pneumonia with a cellular pattern, as compared to patients with a fibrosing pattern. We describe here a patient with nonspecific interstitial pneumonia with a fibrosing pattern in a highly practiced runner, showing an unexpectedly long-term favorable course, and consider the possible role of exercise in the diagnosis and clinical course of the disease. This case reinforces the evidence that exercise training, which is a principal component of pulmonary rehabilitation, may have clinically important effects on functional exercise capacity, especially if it is delivered early in the course of the disease.

Original languageEnglish
JournalRespiratory Care
Volume59
Issue number3
DOIs
Publication statusPublished - Mar 1 2014

Fingerprint

Pulmonary Fibrosis
Interstitial Lung Diseases
Exercise
Idiopathic Pulmonary Fibrosis
Fibrosis
Inflammation
Lung
Basement Membrane
Rehabilitation
Biopsy

Keywords

  • Diffuse parenchymal lung diseases
  • Exercise
  • Non-specific interstitial pneumonia
  • Pulmonary rehabilitation

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Medicine(all)

Cite this

Histopathology and exercise : A winning combination in pulmonary fibrosis: A case report. / Pisano, Viviana; Fuschillo, Salvatore; Balzano, Giovanni.

In: Respiratory Care, Vol. 59, No. 3, 01.03.2014.

Research output: Contribution to journalArticle

@article{aa1d9a45f34c490a836550f03a97d8e2,
title = "Histopathology and exercise: A winning combination in pulmonary fibrosis: A case report",
abstract = "The diffuse parenchymal lung diseases form a heterogeneous group of disorders characterized by varying degrees of inflammation and fibrosis involving the space between epithelial and endothelial basement membranes. Among the diffuse parenchymal lung diseases of unknown etiology, one of the most common is usual interstitial pneumonia/idiopathic pulmonary fibrosis, which carries the worst prognosis. In contrast, nonspecific interstitial pneumonia, which belongs to the same diffuse parenchymal lung disease group, has a more favorable prognosis. Based on the relative amount of inflammation and fibrosis observed on lung biopsies, at least 2 nonspecific interstitial pneumonia patterns have been suggested: cellular and fibrosing. The long-term prognosis is excellent for patients with nonspecific interstitial pneumonia with a cellular pattern, as compared to patients with a fibrosing pattern. We describe here a patient with nonspecific interstitial pneumonia with a fibrosing pattern in a highly practiced runner, showing an unexpectedly long-term favorable course, and consider the possible role of exercise in the diagnosis and clinical course of the disease. This case reinforces the evidence that exercise training, which is a principal component of pulmonary rehabilitation, may have clinically important effects on functional exercise capacity, especially if it is delivered early in the course of the disease.",
keywords = "Diffuse parenchymal lung diseases, Exercise, Non-specific interstitial pneumonia, Pulmonary rehabilitation",
author = "Viviana Pisano and Salvatore Fuschillo and Giovanni Balzano",
year = "2014",
month = "3",
day = "1",
doi = "10.4187/respcare.02520",
language = "English",
volume = "59",
journal = "Respiratory Care",
issn = "0020-1324",
publisher = "by Daedalus Enterprises",
number = "3",

}

TY - JOUR

T1 - Histopathology and exercise

T2 - A winning combination in pulmonary fibrosis: A case report

AU - Pisano, Viviana

AU - Fuschillo, Salvatore

AU - Balzano, Giovanni

PY - 2014/3/1

Y1 - 2014/3/1

N2 - The diffuse parenchymal lung diseases form a heterogeneous group of disorders characterized by varying degrees of inflammation and fibrosis involving the space between epithelial and endothelial basement membranes. Among the diffuse parenchymal lung diseases of unknown etiology, one of the most common is usual interstitial pneumonia/idiopathic pulmonary fibrosis, which carries the worst prognosis. In contrast, nonspecific interstitial pneumonia, which belongs to the same diffuse parenchymal lung disease group, has a more favorable prognosis. Based on the relative amount of inflammation and fibrosis observed on lung biopsies, at least 2 nonspecific interstitial pneumonia patterns have been suggested: cellular and fibrosing. The long-term prognosis is excellent for patients with nonspecific interstitial pneumonia with a cellular pattern, as compared to patients with a fibrosing pattern. We describe here a patient with nonspecific interstitial pneumonia with a fibrosing pattern in a highly practiced runner, showing an unexpectedly long-term favorable course, and consider the possible role of exercise in the diagnosis and clinical course of the disease. This case reinforces the evidence that exercise training, which is a principal component of pulmonary rehabilitation, may have clinically important effects on functional exercise capacity, especially if it is delivered early in the course of the disease.

AB - The diffuse parenchymal lung diseases form a heterogeneous group of disorders characterized by varying degrees of inflammation and fibrosis involving the space between epithelial and endothelial basement membranes. Among the diffuse parenchymal lung diseases of unknown etiology, one of the most common is usual interstitial pneumonia/idiopathic pulmonary fibrosis, which carries the worst prognosis. In contrast, nonspecific interstitial pneumonia, which belongs to the same diffuse parenchymal lung disease group, has a more favorable prognosis. Based on the relative amount of inflammation and fibrosis observed on lung biopsies, at least 2 nonspecific interstitial pneumonia patterns have been suggested: cellular and fibrosing. The long-term prognosis is excellent for patients with nonspecific interstitial pneumonia with a cellular pattern, as compared to patients with a fibrosing pattern. We describe here a patient with nonspecific interstitial pneumonia with a fibrosing pattern in a highly practiced runner, showing an unexpectedly long-term favorable course, and consider the possible role of exercise in the diagnosis and clinical course of the disease. This case reinforces the evidence that exercise training, which is a principal component of pulmonary rehabilitation, may have clinically important effects on functional exercise capacity, especially if it is delivered early in the course of the disease.

KW - Diffuse parenchymal lung diseases

KW - Exercise

KW - Non-specific interstitial pneumonia

KW - Pulmonary rehabilitation

UR - http://www.scopus.com/inward/record.url?scp=84895428855&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84895428855&partnerID=8YFLogxK

U2 - 10.4187/respcare.02520

DO - 10.4187/respcare.02520

M3 - Article

C2 - 23920216

AN - SCOPUS:84895428855

VL - 59

JO - Respiratory Care

JF - Respiratory Care

SN - 0020-1324

IS - 3

ER -