Table 1

Idiopathic pneumonia syndrome: diagnostic criteria

  1. Widespread alveolar injury

    • Multilobar infiltrates on CXR or CT, PLUS

    • Clinical signs of pneumonia: cough, dyspnea, or rales, PLUS

    • Abnormal physiology: increased arterial-alveolar oxygen gradient, or the need for supplemental oxygen support

  2. Absence of lower respiratory tract infection

    • Negative BAL for bacterial and nonbacterial organisms, OR

    • Negative surgical lung biopsy

 
  1. Widespread alveolar injury

    • Multilobar infiltrates on CXR or CT, PLUS

    • Clinical signs of pneumonia: cough, dyspnea, or rales, PLUS

    • Abnormal physiology: increased arterial-alveolar oxygen gradient, or the need for supplemental oxygen support

  2. Absence of lower respiratory tract infection

    • Negative BAL for bacterial and nonbacterial organisms, OR

    • Negative surgical lung biopsy

 

The definition of diffuse alveolar hemorrhage (DAH) requires the data in the table, plus progressively bloodier aliquots of lavage fluid noted during bronchoscopy.

Close Modal

or Create an Account

Close Modal
Close Modal