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Idiopathic Pulmonary Fibrosis (IPF) as the name suggests is a progressive disorder with no known aetiology. It is characterised by the thickening of the alveoli due to scarring resulting in cough. It is known to primarily occur in older adults over 60 years of age. The findings of IPF have a known association of Usual Interstitial Pneumonia (UIP) (Raghu et al., 2011; Kawano-Dourado & Kairalla, 2013; Wells, 2013). It has been deemed that the prognosis is generally poor when UIP has been confirmed (King et al., 2001b). The median survival rate of IPF is 50%, typically around two years after diagnosis (Raghu et al., 2011; King et al., 2001b). Idiopathic Pulmonary Fibrosis (IPF) as the name suggests is a progressive disorder with no known aetiology. It is characterised by the thickening of the alveoli due to scarring resulting in cough. It is known to primarily occur in older adults over 60 years of age. The findings of IPF have a known association of Usual Interstitial Pneumonia (UIP) (Raghu et al., 2011; Kawano-Dourado & Kairalla, 2013; Wells, 2013). It has been deemed that the prognosis is generally poor when UIP has been confirmed (King et al., 2001b). The median survival rate of IPF is 50%, typically around two years after diagnosis (Raghu et al., 2011; King et al., 2001b).

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nonspecific interstitial pneumonia/fibrosis: comparison with idiopathic pulmonary fibrosis and BOOP. The European respiratory journal. 12 (5). pp. 1010–9. Nakayama, S., Mukae, H., Sakamoto, N., Kakugawa, T., Yoshioka, S., Soda, H., Oku, H., Urata, Y., Kondo, T., Kubota, H., Nagata, K. & Kohno, S. (2008). Pirfenidone inhibits the expression of HSP47 in TGF-beta1-stimulated human lung fibroblasts. Life sciences. [Online]. 82 (3–4). pp. 210–7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/18093617. Nalysnyk, L., Cid-Ruzafa, J., Rotella, P. & Esser, D. (2012). Incidence and prevalence of idiopathic pulmonary fibrosis: review of the literature. European Respiratory Review. [Online]. 21 (126). pp. 355–361. Available from: http://err.ersjournals.com/cgi/doi/10.1183/09059180.00002512. Nathan, S.D., Basavaraj, A., Reichner, C., Shlobin, O.A., Ahmad, S., Kiernan, J., Burton, N. & Barnett, S.D. (2010). Prevalence and impact of coronary artery disease in idiopathic pulmonary fibrosis. Respiratory medicine. 104 (7). pp. 1035–41. Nathan, S.D., Noble, P.W. & Tuder, R.M. (2007). Idiopathic pulmonary fibrosis and pulmonary hypertension: connecting the dots. American journal of respiratory and critical care medicine. 175 (9). pp. 875–80. Nathan, S.D., Shlobin, O.A., Ahmad, S., Koch, J., Barnett, S.D., Ad, N., Burton, N. & Leslie, K. (2008a). Serial development of pulmonary hypertension in patients with idiopathic pulmonary fibrosis. Respiration; international review of thoracic diseases. 76 (3). pp. 288–94. Nathan, S.D., Shlobin, O.A., Barnett, S.D., Saggar, R., Belperio, J.A., Ross, D.J., Ahmad, S., Saggar, R., Libre, E., Lynch, J.P. & Zisman, D.A. (2008b). Right ventricular systolic pressure by echocardiography as a predictor of pulmonary hypertension in idiopathic pulmonary fibrosis. Respiratory medicine. [Online]. 102 (9). pp. 1305–10. Available from: http://www.ncbi.nlm.nih.gov/pubmed/18619825. National Institutes of Health (2011). What Is Idiopathic Pulmonary Fibrosis? [Online]. 2011. NHLBI. Available from: https://www.nhlbi.nih.gov/health/health- © 2017-2018 All Rights Reserved, No part of this document should be modified/used without prior consent Tutors India - Your trusted mentor since 2001 www.tutorindia.com I UK # +44-1143520021, info@tutorsindia.com Page 148 of 172

topics/topics/idiopathic-pulmonary-fibrosis. [Accessed: 26 December 2016]. Navaratnam, V., Fleming, K.M., West, J., Smith, C.J.P., Jenkins, R.G., Fogarty, A. & Hubbard, R.B. (2011). The rising incidence of idiopathic pulmonary fibrosis in the UK. Thorax. [Online]. 66 (6). pp. 462–467. Available from: http://thorax.bmj.com/cgi/doi/10.1136/thx.2010.148031. NCBI (2000). American Thoracic Society. Idiopathic pulmonary fibrosis: diagnosis and treatment. International consensus statement. American Thoracic Society (ATS), and the European Respiratory Society (ERS). American journal of respiratory and critical care medicine. 161 (2 Pt 1). pp. 646–64. NICE (2013). Diagnosis and management of suspected idiopathic pulmonary fibrosis. London: NICE. Nicholson, A.G., Colby, T. V, du Bois, R.M., Hansell, D.M. & Wells, A.U. (2000). The prognostic significance of the histologic pattern of interstitial pneumonia in patients presenting with the clinical entity of cryptogenic fibrosing alveolitis. American journal of respiratory and critical care medicine. [Online]. 162 (6). pp. 2213–7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/11112140. Nicholson, A.G., Fulford, L.G., Colby, T. V, du Bois, R.M., Hansell, D.M. & Wells, A.U. (2002). The relationship between individual histologic features and disease progression in idiopathic pulmonary fibrosis. American journal of respiratory and critical care medicine. [Online]. 166 (2). pp. 173–7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/12119229. Noble, P.W., Albera, C., Bradford, W.Z., Costabel, U., du Bois, R.M., Fagan, E.A., Fishman, R.S., Glaspole, I., Glassberg, M.K., Lancaster, L., Lederer, D.J., Leff, J.A., Nathan, S.D., Pereira, C.A., Swigris, J.J., Valeyre, D. & King, T.E. (2016). Pirfenidone for idiopathic pulmonary fibrosis: analysis of pooled data from three multinational phase 3 trials. European Respiratory Journal. [Online]. 47 (1). pp. 243–253. Available from: http://erj.ersjournals.com/lookup/doi/10.1183/13993003.00026-2015. Noble, P.W., Albera, C., Bradford, W.Z., Costabel, U., Glassberg, M.K., Kardatzke, D., King, © 2017-2018 All Rights Reserved, No part of this document should be modified/used without prior consent Tutors India - Your trusted mentor since 2001 www.tutorindia.com I UK # +44-1143520021, info@tutorsindia.com Page 149 of 172

topics/topics/idiopathic-pulmonary-fibrosis. [Accessed: 26 December 2016].<br />

Navaratnam, V., Fleming, K.M., West, J., Smith, C.J.P., Jenkins, R.G., Fogarty, A. &<br />

Hubbard, R.B. (2011). The rising incidence of idiopathic pulmonary fibrosis in the UK.<br />

Thorax. [Online]. 66 (6). pp. 462–467. Available from:<br />

http://thorax.bmj.com/cgi/doi/10.1136/thx.2010.148031.<br />

NCBI (2000). American Thoracic Society. Idiopathic pulmonary fibrosis: diagnosis and<br />

treatment. International consensus statement. American Thoracic Society (ATS), and the<br />

European Respiratory Society (ERS). American journal of respiratory and critical care<br />

medicine. 161 (2 Pt 1). pp. 646–64.<br />

NICE (2013). Diagnosis and management of suspected idiopathic pulmonary fibrosis.<br />

London: NICE.<br />

Nicholson, A.G., Colby, T. V, du Bois, R.M., Hansell, D.M. & Wells, A.U. (2000). The<br />

prognostic significance of the histologic pattern of interstitial pneumonia in patients<br />

presenting with the clinical entity of cryptogenic fibrosing alveolitis. American journal<br />

of respiratory and critical care medicine. [Online]. 162 (6). pp. 2213–7. Available from:<br />

http://www.ncbi.nlm.nih.gov/pubmed/11112140.<br />

Nicholson, A.G., Fulford, L.G., Colby, T. V, du Bois, R.M., Hansell, D.M. & Wells, A.U.<br />

(2002). The relationship between individual histologic features and disease progression<br />

in idiopathic pulmonary fibrosis. American journal of respiratory and critical care<br />

medicine. [Online]. 166 (2). pp. 173–7. Available from:<br />

http://www.ncbi.nlm.nih.gov/pubmed/12119229.<br />

Noble, P.W., Albera, C., Bradford, W.Z., Costabel, U., du Bois, R.M., Fagan, E.A., Fishman,<br />

R.S., Glaspole, I., Glassberg, M.K., Lancaster, L., Lederer, D.J., Leff, J.A., Nathan, S.D.,<br />

Pereira, C.A., Swigris, J.J., Valeyre, D. & King, T.E. (2016). Pirfenidone for idiopathic<br />

pulmonary fibrosis: analysis of pooled data from three multinational phase 3 trials.<br />

European Respiratory Journal. [Online]. 47 (1). pp. 243–253. Available from:<br />

http://erj.ersjournals.com/lookup/doi/10.1183/13993003.00026-2015.<br />

Noble, P.W., Albera, C., Bradford, W.Z., Costabel, U., Glassberg, M.K., Kardatzke, D., King,<br />

© 2017-2018 All Rights Reserved, No part of this document should be modified/used without prior consent<br />

<strong>Tutors</strong> <strong>India</strong> - Your trusted mentor since 2001<br />

www.tutorindia.com I UK # +44-1143520021, info@tutorsindia.com<br />

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