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What are the two types of pulmonary fibrosis?

Published in Pulmonary Fibrosis Types 2 mins read

The two primary ways pulmonary fibrosis is often categorized are Idiopathic Pulmonary Fibrosis (IPF) and Secondary Pulmonary Fibrosis (pulmonary fibrosis with a known cause).

Understanding Pulmonary Fibrosis Types

Pulmonary fibrosis (PF) is a chronic lung disease characterized by the scarring or thickening of lung tissue. This scarring makes it harder for the lungs to work properly. While many conditions can lead to PF, doctors often classify it based on whether a specific cause can be identified.

1. Idiopathic Pulmonary Fibrosis (IPF)

As highlighted in the reference, Idiopathic Pulmonary Fibrosis (IPF) is the most common type of PF. The term "idiopathic" means the cause is unknown.

  • Key Characteristic: The scarring occurs without a clear trigger that doctors can identify, like exposure to harmful substances or another medical condition.
  • Diagnosis: IPF is diagnosed after ruling out other potential causes.
  • Prognosis: IPF is a serious condition that tends to worsen over time.

2. Secondary Pulmonary Fibrosis

Secondary pulmonary fibrosis refers to cases where the scarring in the lungs is caused by an identifiable factor. The reference lists several categories that fall under this umbrella.

  • Known Causes: Unlike IPF, the cause of the lung scarring can be traced to specific factors.
  • Examples from Reference:
    • PF from Diseases: Connective tissue diseases (like scleroderma, rheumatoid arthritis, lupus), certain viral infections, or other inflammatory conditions can affect the lungs and lead to fibrosis.
    • Familial PF: In some cases, pulmonary fibrosis appears to run in families, suggesting a genetic predisposition. While the exact mechanism might be unclear, the familial link identifies a potential root cause.
    • PF from Exposures: Inhaling certain environmental or occupational substances over time can damage the lungs. Examples include exposure to asbestos, silica dust, hard metal dusts, and even certain molds or animal proteins (hypersensitivity pneumonitis). Certain medications can also induce pulmonary fibrosis.


Type of Pulmonary Fibrosis Cause Examples (from reference)
Idiopathic PF (IPF) Unknown N/A (defined by lack of known cause)
Secondary PF Known/Identifiable PF from Diseases, Familial PF, PF from Exposures (chemicals, medications)


Understanding the type of pulmonary fibrosis is crucial for diagnosis, prognosis, and managing the condition, as treatment approaches may differ depending on whether a specific cause can be identified and addressed.