pulmoПульмонологияPULMONOLOGIYA0869-01892541-9617Scientific and Practical Journal “PULMONOLOGIYA” LLC10.18093/0869-0189-2019-29-1-106-111pulmo-1114Research ArticleЗАМЕТКИ ИЗ ПРАКТИКИPRACTICAL NOTESМультидисциплинарный подход к диагностике неспецифической интерстициальной пневмонии (клиническое наблюдение)Multidisciplinary approach to the diagnosis of nonspecific interstitial pneumonia (a case report)ОвчаренкоС. И.OvcharenkoS. I.

Овчаренко Светлана Ивановна – доктор медицинских наук, профессор кафедры факультетской терапии № 1 лечебного факультета.

119991, Москва, ул. Трубецкая, 8, стр. 2; тел.: (499) 248-45-23.

Svetlana I. Ovcharenko - Doctor of Medicine, Professor, Department No.1 of General Internal Medicine, Medical Faculty.

Trubetskaya ul. 8, build. 2, Moscow, 119991; tel.: (499) 248-45-23.

svetftk@mail.ruСонЕ. А.SonE. A.

Сон Елена Алексеевна – кандидат медицинских наук, доцент кафедры факультетской терапии № 1 лечебного факультета.

119991, Москва, ул. Трубецкая, 8, стр. 2; тел.: (903) 711-24-38.

Elena A. Son - Candidate of Medicine, Associate Professor, Department No.1 of General Internal Medicine, Medical Faculty.

Trubetskaya ul. 8, build. 2, Moscow, 119991; tel.: (903) 711-24-38.

sonalex1110@mail.ruОсадчаяВ. А.OsadchayaV. A.

Осадчая Вера Анатольевна – врач-терапевт терапевтического отделения Университетской клинической больницы № 1.

119991, Москва, ул. Трубецкая, 8, стр. 2; тел.: (916) 475-02-82.

Vera A. Osadchaya - a therapeutist, Therapeutic Department, University Teaching Hospital No.1.

Trubetskaya ul. 8, build. 2, Moscow, 119991; tel.: (916) 475-02-82.

osad-vera@yandex.ruКапустинаВ. А.KapustinaV. A.

Капустина Валентина Андреевна – кандидат медицинских наук, ассистент кафедры факультетской терапии № 1 лечебного факультета.

119991, Москва, ул. Трубецкая, 8, стр. 2; тел.: (499) 245-23-02.

Valentina A. Kapustina - Candidate of Medicine, Assistant Lecturer, Department No.1 of General Internal Medicine, Medical Faculty.

Trubetskaya ul. 8, build. 2, Moscow, 119991; tel.: (499) 245-23-02.

kapustina.valentina.a@gmail.comПервый Московский государственный медицинский университет имени И.М.Сеченова Министерства здравоохранения Российской Федерации (Сеченовский Университет)РоссияI.M.Sechenov First Moscow State Medical University (Sechenov University), Healthcare Ministry of RussiaRussian Federation201922042019291106111Copyright © Овчаренко С.И., Сон Е.А., Осадчая В.А., Капустина В.А., 20192019Овчаренко С.И., Сон Е.А., Осадчая В.А., Капустина В.А.Ovcharenko S.I., Son E.A., Osadchaya V.A., Kapustina V.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://journal.pulmonology.ru/pulm/article/view/1114

Одной из форм идиопатической интерстициальной пневмонии является неспецифическая интерстициальная пневмония (НСИП), особенность которой заключается в неспецифичности клинической, рентгенологической и морфологической картины. По данным приведенного клинического наблюдения показано, что в отсутствие патогномоничных гистологических маркеров НСИП существенно понижается ценность проведения биопсии легких как диагностического метода в этой ситуации и в большей степени определяется важность других инструментальных методов, в первую очередь мультиспиральной компьютерной томографии. По данным представленного клинического наблюдения продемонстрирована эффективность мультидисциплинарного подхода с привлечением различных специалистов при диагностике НСИП.

Nonspecific interstitial pneumonia (NSIP) is one of idiopathic interstitial pneumonias. NSIP is characterized by non-specific clinical, radiologic, and morphological patterns; thereby, multidisciplinary approach is most reasonable to diagnose NSIP. A clinical case of NSIP is reported in the article. The case demonstrated that the multi-slice computed tomography of the lungs is more valuable to diagnose NSIP compared to the lung tissue biopsy, as typical morphological signs are absent. The multidisciplinary approach was also very useful in this case.

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The authors declare that there are no conflicts of interest present.