Idiopathic interstitial pneumonia (mnemonic)

Idiopathic interstitial pneumonias (IIPs) are diffuse interstitial lung diseases of unknown cause. A useful mnemonic for the American Thoracic Society-European Respiratory Society (ATS/ERS) classification of IIPs is:

  • All Idiopathic Chronic Lung Disease aRe Nonspecifically Patterned

The mnemonic reflects the frustration of trying to differentiate them on plain film. Indeed, diagnosis depends on HRCT findings, as well as clinical presentation. Even then, some cases require lung biopsy for definitive diagnosis.

Mnemonic

The first two, AIP and IPF/UIP, have very poor prognosis. The next in the list, COP, is associated with good response to steroids and good prognosis. LIP is more common in women (think "LIPstick"), in contrast to the others, which are either more common in men or have equal gender distribution.

The following two, DIP and RB-ILD, are at extremes of a spectrum, are associated with smoking, and have good response with smoking cessation.

PPFE has a relatively poor prognosis, with frequent infectious complications and associated pneumothorax.

One caveat: the word chronic in the mnemonic should be taken with a grain of salt. Some of the entities may have a subacute presentation, and one, AIP, presents acutely.


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Article Information

rID: 872
System: Chest
Section: Mnemonics
Synonyms or Alternate Spellings:
  • All Idiopathic Chronic Lung Disease aRe Nonspecific
  • All Idiopathic Chronic Lung Disease aRe Non-specific

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Cases and Figures

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    Case 1: idiopathic pulmonary fibrosis
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    Case 2: RB-ILD
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