Clinical characteristics of idiopathic pulmonary fibrosis patients with diabetes mellitus: the national survey in Korea from 2003 to 2007

Evidence suggests that diabetes mellitus (DM) is associated with idiopathic pulmonary fibrosis (IPF). According to the new IPF guidelines, high-resolution computed tomography (HRCT) is an essential means of diagnosing IPF. We investigated the relationship between IPF and DM in patients treated betwe...

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Published in:Journal of Korean medical science Vol. 27; no. 7; pp. 756 - 760
Main Authors: Kim, Yu Jin, Park, Jeong-Woong, Kyung, Sun Young, Lee, Sang Pyo, Chung, Man Pyo, Kim, Young Hwan, Lee, Jae Ho, Kim, Yong Chul, Ryu, Jong Seon, Lee, Hong Lyeol, Park, Choon Sik, Uh, Soo-Tak, Lee, Young Chul, Kim, Kwan Hyung, Chun, Young Joon, Park, Young Bum, Kim, Dong Soon, Jegal, Yongjin, Lee, Jin Hwa, Park, Moo Suk, Jeong, Sung Hwan
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Published: Korea (South) The Korean Academy of Medical Sciences 01-07-2012
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Abstract Evidence suggests that diabetes mellitus (DM) is associated with idiopathic pulmonary fibrosis (IPF). According to the new IPF guidelines, high-resolution computed tomography (HRCT) is an essential means of diagnosing IPF. We investigated the relationship between IPF and DM in patients treated between 2003 and 2007. Newly diagnosed IPF patients in large university teaching hospitals in Korea were enrolled from January 2003 to December 2007. We retrospectively analyzed 1,685 patients using the interstitial lung disease (ILD) registry. In total, 299 IPF patients (17.8%) also had DM. The mean age of our subjects was 68.0 ± 9.4 yr. HRCT showed significantly more reticular and honeycomb patterns in IPF patients with DM than in IPF patients without DM (P = 0.014, P = 0.028, respectively). Furthermore, significantly higher incidences of hypertension, cardiovascular diseases, and other malignancies (except lung cancer) were found in IPF patients with DM than in IPF patients without DM. In conclusion, IPF patients with DM are more likely to have the usual interstitial pneumonia (UIP) pattern, including reticular and honeycomb patterns, on HRCT than are those without DM.
AbstractList Evidence suggests that diabetes mellitus (DM) is associated with idiopathic pulmonary fibrosis (IPF). According to the new IPF guidelines, high-resolution computed tomography (HRCT) is an essential means of diagnosing IPF. We investigated the relationship between IPF and DM in patients treated between 2003 and 2007. Newly diagnosed IPF patients in large university teaching hospitals in Korea were enrolled from January 2003 to December 2007. We retrospectively analyzed 1,685 patients using the interstitial lung disease (ILD)registry. In total, 299 IPF patients (17.8%) also had DM. The mean age of our subjects was 68.0 ± 9.4 yr. HRCT showed significantly more reticular and honeycomb patterns in IPF patients with DM than in IPF patients without DM (P = 0.014, P = 0.028, respectively). Furthermore, significantly higher incidences of hypertension, cardiovascular diseases, and other malignancies (except lung cancer) were found in IPF patients with DM than in IPF patients without DM. In conclusion, IPF patients with DM are more likely to have the usual interstitial pneumonia (UIP) pattern, including reticular and honeycomb patterns, on HRCT than are those without DM. KCI Citation Count: 3
Evidence suggests that diabetes mellitus (DM) is associated with idiopathic pulmonary fibrosis (IPF). According to the new IPF guidelines, high-resolution computed tomography (HRCT) is an essential means of diagnosing IPF. We investigated the relationship between IPF and DM in patients treated between 2003 and 2007. Newly diagnosed IPF patients in large university teaching hospitals in Korea were enrolled from January 2003 to December 2007. We retrospectively analyzed 1,685 patients using the interstitial lung disease (ILD) registry. In total, 299 IPF patients (17.8%) also had DM. The mean age of our subjects was 68.0 ± 9.4 yr. HRCT showed significantly more reticular and honeycomb patterns in IPF patients with DM than in IPF patients without DM ( P = 0.014, P = 0.028, respectively). Furthermore, significantly higher incidences of hypertension, cardiovascular diseases, and other malignancies (except lung cancer) were found in IPF patients with DM than in IPF patients without DM. In conclusion, IPF patients with DM are more likely to have the usual interstitial pneumonia (UIP) pattern, including reticular and honeycomb patterns, on HRCT than are those without DM.
Evidence suggests that diabetes mellitus (DM) is associated with idiopathic pulmonary fibrosis (IPF). According to the new IPF guidelines, high-resolution computed tomography (HRCT) is an essential means of diagnosing IPF. We investigated the relationship between IPF and DM in patients treated between 2003 and 2007. Newly diagnosed IPF patients in large university teaching hospitals in Korea were enrolled from January 2003 to December 2007. We retrospectively analyzed 1,685 patients using the interstitial lung disease (ILD) registry. In total, 299 IPF patients (17.8%) also had DM. The mean age of our subjects was 68.0 ± 9.4 yr. HRCT showed significantly more reticular and honeycomb patterns in IPF patients with DM than in IPF patients without DM (P = 0.014, P = 0.028, respectively). Furthermore, significantly higher incidences of hypertension, cardiovascular diseases, and other malignancies (except lung cancer) were found in IPF patients with DM than in IPF patients without DM. In conclusion, IPF patients with DM are more likely to have the usual interstitial pneumonia (UIP) pattern, including reticular and honeycomb patterns, on HRCT than are those without DM.
Author Lee, Young Chul
Park, Choon Sik
Lee, Jin Hwa
Kim, Yong Chul
Uh, Soo-Tak
Park, Young Bum
Park, Moo Suk
Kim, Yu Jin
Chun, Young Joon
Jegal, Yongjin
Kim, Dong Soon
Chung, Man Pyo
Jeong, Sung Hwan
Ryu, Jong Seon
Park, Jeong-Woong
Kim, Young Hwan
Lee, Hong Lyeol
Lee, Jae Ho
Kyung, Sun Young
Lee, Sang Pyo
Kim, Kwan Hyung
AuthorAffiliation 13 Department of Internal Medicine, Ewha Women's University School of Medicine, Seoul, Korea
5 Division of Pulmonology and Critical Care Medicine, Department of Internal Medicine, Inha University Hospital, Inha University School of Medicine, Incheon, Korea
10 Department of Internal Medicine, Hallym University College of Medicine, Kangdong Sacred Heart Hospital, Seoul, Korea
3 Division of Pulmonology and Critical Care Medicine, Department of Internal Medicine, Seoul National University College of Medicine and Lung Institute, Seoul National University Hospital, Seoul and Seongnam, Korea
6 Department of Internal Medicine, Soon Chun Hyang University College of Medicine, Bucheon and Seoul, Korea
8 Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea
1 Division of Pulmonology and Critical Care Medicine, Department of Internal Medicine, Gachon University Gil Hospital, Incheon, Korea
2 Division of Pulmonology and Critical Care Medicine, Department of Med
AuthorAffiliation_xml – name: 14 Department of Internal Medicine, Younsei University College of Medicine, Seoul, Korea
– name: 11 Department of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
– name: 1 Division of Pulmonology and Critical Care Medicine, Department of Internal Medicine, Gachon University Gil Hospital, Incheon, Korea
– name: 9 Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea
– name: 4 Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea
– name: 12 Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea
– name: 3 Division of Pulmonology and Critical Care Medicine, Department of Internal Medicine, Seoul National University College of Medicine and Lung Institute, Seoul National University Hospital, Seoul and Seongnam, Korea
– name: 8 Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea
– name: 13 Department of Internal Medicine, Ewha Women's University School of Medicine, Seoul, Korea
– name: 2 Division of Pulmonology and Critical Care Medicine, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
– name: 5 Division of Pulmonology and Critical Care Medicine, Department of Internal Medicine, Inha University Hospital, Inha University School of Medicine, Incheon, Korea
– name: 10 Department of Internal Medicine, Hallym University College of Medicine, Kangdong Sacred Heart Hospital, Seoul, Korea
– name: 6 Department of Internal Medicine, Soon Chun Hyang University College of Medicine, Bucheon and Seoul, Korea
– name: 7 Department of Internal Medicine, Chonbuk National University Medical School, Jeonju, Korea
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Issue 7
Keywords High Resolution Computed Tomography
Idiopathic Pulmonary Fibrosis
Diabetes Mellitus
Language English
License This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Snippet Evidence suggests that diabetes mellitus (DM) is associated with idiopathic pulmonary fibrosis (IPF). According to the new IPF guidelines, high-resolution...
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SubjectTerms Aged
Cardiovascular Diseases - epidemiology
Cardiovascular Diseases - etiology
Diabetes Mellitus, Type 2 - complications
Female
Humans
Hypertension - epidemiology
Hypertension - etiology
Idiopathic Pulmonary Fibrosis - complications
Idiopathic Pulmonary Fibrosis - diagnosis
Idiopathic Pulmonary Fibrosis - diagnostic imaging
Incidence
Male
Middle Aged
Neoplasms - epidemiology
Neoplasms - etiology
Original
Registries
Republic of Korea - epidemiology
Retrospective Studies
Tomography, X-Ray Computed
의학일반
Title Clinical characteristics of idiopathic pulmonary fibrosis patients with diabetes mellitus: the national survey in Korea from 2003 to 2007
URI https://www.ncbi.nlm.nih.gov/pubmed/22787370
https://search.proquest.com/docview/1024935622
https://pubmed.ncbi.nlm.nih.gov/PMC3390723
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Volume 27
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