Rapidly fatal pulmonary fibrosis: the accelerated variant of interstitial pneumonitis

Autor: D S Pratt, J J May, R B Dreisin, M I Schwartz
Rok vydání: 1979
Předmět:
Zdroj: Thorax. 34:587-593
ISSN: 0040-6376
DOI: 10.1136/thx.34.5.587
Popis: We sought to explore immunological factors in patients who died with rapidly fatal fibrosing lung diseases (Hamman-Rich syndrome). A retrospective review of cases of interstitial lung disease showed 12 recent deaths from Hamman-Rich syndrome. The mean age was 62, men outnumbering women 3 : 1. Five patients had proved collagen vascular disease (rheumatoid arthritis three, lupus two). Four others had a history of allergic disorders, syphilis, chronic eosinophilia, or hypersensitivity reactions. One patient showed disappearance of immunofluorescence as fibrosis advanced, which has not previously been reported. The study suggests a possible aetiological link between disorders of immunity and Hamman-Rich syndrome. The evidence also supports the notion that Hamman-Rich syndrome is an accelerated variant of the more indolent interstitial pneumonias.
Databáze: OpenAIRE