Fachrucha, Fanny
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Journal : Respiratory Science

Diagnosis and Management of Interstitial Lung Abnormalities (ILA): An Article Review Pande, I Wayan Pande Adhyaksa; Fachrucha, Fanny
Respiratory Science Vol. 5 No. 2 (2025): Respiratory Science
Publisher : Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/respirsci.v5i2.163

Abstract

Interstitial lung abnormalities (ILA) are radiological findings on chest computed tomography (CT) scans that occupy more than 5% of the lung area across upper, middle, and lower lung fields. Interstitial lung abnormalities manifest through several imaging features, including ground-glass opacities (GGO), reticular patterns, diffuse centrilobular nodules, non-emphysematous cysts, honeycombing, and traction bronchiectasis, while emphysema is excluded from its definition. Although global prevalence data for ILA are limited, epidemiological studies report a prevalence ranging from 3% to 10% in various populations. The ILA shares a similar pathological pathway with ILD. Histologically, the structural alterations are caused by a series of inflammations in the parenchyma, the part of the lung that is involved in gas exchange (bronchioles, alveolar ducts, and alveoli). Numerous proteins and pro-fibrotic components reside in this compartment. Connective tissue builds up because of these proteins' recurrent activation cycles. Identified risk factors for developing ILA include advanced age, cigarette smoking, exposure to inhaled substances such as dust and air pollution, and genetic predispositions. The ILA is further categorized into three subtypes: non-subpleural, nonfibrotic subpleural, and fibrotic subpleural, which reflect different radiological characteristics. Currently, there is no definitive treatment for ILA, and management strategies primarily involve clinical assessment, regular radiological follow-ups, and control of risk factors to mitigate disease progression. Given the potential implications of ILA on respiratory health, ongoing research is essential to elucidate its natural history and inform future therapeutic approaches.
Oxygen Therapy in Exacerbation of Interstitial Lung Disease Aritonang, Rachel S; Fachrucha, Fanny; Elhidsi, Mia; Desianti, Ginanjar Arum
Respiratory Science Vol. 4 No. 3 (2024): Respiratory Science
Publisher : Indonesian Society of Respirology (ISR)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36497/respirsci.v4i3.129

Abstract

Interstitial lung diseases (ILD) are a group of diseases that involve damage in the interstitial tissue, causing diffusion disorders which ultimately lead to hypoxemia. One of the conditions that aggravate hypoxemia in ILD patients is acute exacerbation. Acute exacerbation is a condition of deterioration of ILD that can occur in less than 1 month. During an acute exacerbation, there will be a worsening of the HRCT pattern with increased ground glass opacities and a worsening of the clinical picture including hypoxemia. Acute exacerbations are closely related to increased mortality rates. Oxygen administration is one of the supportive therapies that can be given to acute exacerbations. The provision of oxygen therapy is adjusted to the patient's needs using a high-flow nasal cannula, non-invasive ventilation, invasive mechanical ventilation, and extracorporeal membrane oxygenation.