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Histopathological aspects of usual interstitial pneumonia in patients with systemic connective tissue diseases

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F61988987%3A17110%2F25%3AA2603DDY" target="_blank" >RIV/61988987:17110/25:A2603DDY - isvavai.cz</a>

  • Result on the web

    <a href="https://www.hh.um.es/Abstracts/Vol_40/40_1/40_1_49.htm" target="_blank" >https://www.hh.um.es/Abstracts/Vol_40/40_1/40_1_49.htm</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.14670/HH-18-777" target="_blank" >10.14670/HH-18-777</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Histopathological aspects of usual interstitial pneumonia in patients with systemic connective tissue diseases

  • Original language description

    Five cases of patients with systemic connective tissue diseases (CTD) who developed connective tissue disease-associated interstitial lung disease (CTD-ILD) with progressive pulmonary fibrosis (PPF) are reported here. Unspecified ILD was diagnosed using high-resolution computed tomography (HRCT). Histologically, all cases were usual interstitial pneumonia (UIP) with findings of advanced (3/5) to diffuse (2/5) fibrosis, with a partially (4/5) to completely (1/5) formed image of a honeycomb lung. The fibrosis itself spread subpleurally and periseptally to more central parts (2/5) of the lung, around the alveolar ducts (2/5), or even without predisposition (1/5). Simultaneously, there was architectural reconstruction based on the mutual fusion of fibrosis without compression of the surrounding lung parenchyma (1/5), or with its compression (4/5). The whole process was accompanied by multifocal (1/5), dispersed (2/5), or organized inflammation in aggregates and lymphoid follicles (2/5). As a result of continuous fibroproduction and maturation of the connective tissue, the alveolar septa thickened, delimiting groups of alveoli that merged into air bullae. Few indistinctly visible (2/5), few clearly visible (1/5), multiple indistinctly visible (1/5), and multiple clearly visible (1/5) fibroblastic foci were present. Among the concomitant changes, areas of emphysema, bronchioloectasia, and bronchiectasis, as well as bronchial and vessel wall hypertrophy, and mucostasis in the alveoli and edema were observed. The differences in the histological appearance of usual interstitial pneumonia associated with systemic connective tissue diseases (CTD-UIP) versus the pattern associated with idiopathic pulmonary fibrosis (IPF-UIP) are discussed here. The main differences lie in spreading lung fibrosis, architectural lung remodeling, fibroblastic foci, and inflammatory infiltrates.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    30109 - Pathology

Result continuities

  • Project

  • Continuities

    N - Vyzkumna aktivita podporovana z neverejnych zdroju

Others

  • Publication year

    2025

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    Histology and Histopathology

  • ISSN

    0213-3911

  • e-ISSN

    1699-5848

  • Volume of the periodical

  • Issue of the periodical within the volume

    1

  • Country of publishing house

    ES - SPAIN

  • Number of pages

    8

  • Pages from-to

    49-56

  • UT code for WoS article

    001390220800006

  • EID of the result in the Scopus database

    2-s2.0-85213412166