Difference between revisions of "Diffuse Fibrosing Alveolitis"

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(Created page with "Diffuse Fibrosing Alveolitis/ Interstitial Pneumonia *Diffuse inflammatory process which occurs distal to the terminal bronchioles *Characterised by thickening and fibrosis of t...")
 
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Revision as of 10:54, 20 August 2010

Diffuse Fibrosing Alveolitis/ Interstitial Pneumonia

  • Diffuse inflammatory process which occurs distal to the terminal bronchioles
  • Characterised by thickening and fibrosis of the alveolar walls
  • The precise underlying aetiology of this condition is obscure and it is likely to represent the end stage of a variety of initial insults including EAA and fog fever
  • Progression from an acute exudative phase through a proliferative phase (proliferation of type II pneumocytes) to a final irreversible stage of fibrosis is the hallmark of DFA
  • The rate of the ensuing fibrosis is heavily dependant on the intensity of the inflammation associated with it
  • Underlying pathogenesis of the fibrosis is complex and involves a relative increase of type I collagen fibres (dense, high tensile strength) over type III fibres (reticulin)
  • Stimulation of fibroblast proliferation and collagen deposition are thought to be induced by macrophage derived cytokines, e.g. IL-1, TGFalpha and TGFbeta, GM-CSF