Terapevticheskii arkhivTerapevticheskii arkhivТерапевтический архив0040-36602309-5342LLC Obyedinennaya Redaktsiya3302110.26442/00403660.2019.03.000077Editorial articleПередовая статьяReview ArticleMultidisciplinary approach in the diagnosis of idiopathic nonspecific interstitial pneumoniaМультидисциплинарный подход в диагностике идиопатической неспецифической интерстициальной пневмонииOvcharenkoS IОвчаренкоСветлана Ивановна

д.м.н., проф., проф. каф. факультетской терапии №1 лечебного фак-та ФГАОУ ВО «Первый МГМУ им. И.М. Сеченова» Минздрава России (Сеченовский Университет); ORCID: 0000-0002-8264-6635

SonE AСонЕлена Алексеевна

к.м.н., доцент каф. факультетской терапии №1 лечебного фак-та; ORCID: 0000-0002-5168-8752

KapustinaV AКапустинаВалентина Андреевна

к.м.н., ассистент каф. факультетской терапии №1 лечебного фак-та; ORCID: 0000-0001-6512-1629

I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский Университет)»15032019913VOL 91, NO3 (2019)ТОМ 91, №3 (2019)10110611042020Copyright ©; 2019, Consilium MedicumCopyright ©; 2019, ООО "Консилиум Медикум"2019Consilium MedicumООО "Консилиум Медикум"https://creativecommons.org/licenses/by-nc-sa/4.0https://ter-arkhiv.ru/0040-3660/article/view/33021

The article provides a modern classification of interstitial lung diseases. The focus is on the poorly studied and difficult to diagnose idiopathic nonspecific interstitial pneumonia, isolated in a separate nosological form and included in the classification only in 2002. The paper presents the features of the clinical, radiological, histological picture of idiopathic nonspecific interstitial pneumonia in comparison with idiopathic pulmonary fibrosis. The presented materials are based on the results of the largest study conducted by the working group of the American Thoracic Society, which shows the importance of the interaction of specialists in the diagnosis of idiopathic nonspecific interstitial pneumonia. A comprehensive assessment of the examination of patients conducted in collaboration with the clinician and radiologist, after their cooperative discussion, in many cases can help to avoid lung biopsy, and the study of morphological material is more often necessary only in difficult diagnostic situations.

В статье дается современная классификация интерстициальных заболеваний легких. Основное внимание уделяется малоизученной и трудно диагностируемой идиопатической неспецифической интерстициальной пневмонии, выделенной в отдельную нозологическую форму и включенной в классификацию лишь в 2002 г. В работе представлены особенности клинической, рентгенологической, гистологической картины идиопатической неспецифической интерстициальной пневмонии в сравнении с идиопатическим легочным фиброзом. Представленные материалы базируются на результатах самого крупного исследования, проведенного рабочей группой Американского торакального общества, в котором показана важность взаимодействия специалистов в диагностике идиопатической неспецифической интерстициальной пневмонии. Комплексная оценка обследования пациентов, проводимого в содружестве клинициста и рентгенолога, после их совместного обсуждения во многих случаях может помочь избежать проведения биопсии легких, а исследование морфологического материала чаще бывает необходимо лишь в сложных для диагностики ситуациях.

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