Table 2. Patterns of disease behaviour
Self-limited inflammationDrug-induced lung disease (acute onset)
Hypersensitivity pneumonitis (short-term exposure)
Sarcoidosis (distinct subset with usually acute onset)
COP, DIP and LIP
Stable fibrotic diseaseDrug-induced lung disease (residual fibrosis after cessation)
Hypersensitivity pneumonitis (after prolonged exposure)
Sarcoidosis (residuum of burnt-out fibrotic disease)
Non-progressive pneumoconiosis after cessation of exposure (e.g. silicosis)
NSIP
Major inflammation, risk of fibrotic progressionDrug-induced lung disease (unusually florid reactions)
Hypersensitivity pneumonitis (usually continuing exposure)
Sarcoidosis (prolonged severe inflammation)
NSIP, COP, LIP and DIP
Inexorably progressive fibrosisDrug-induced lung disease (continuing exposure)
Hypersensitivity pneumonitis (antigen usually unknown)
Sarcoidosis (small subset of patients)
Progressive pneumoconiosis after exposure (e.g. asbestosis)
UIP
Explosive acute diffuse lung diseaseDrug-induced lung disease
AIP
  • COP: cryptogenic organising pneumonia; DIP: desquamative interstitial pneumonia; LIP: lymphocytic interstitial pneumonia; NSIP: nonspecific interstitial pneumonia; UIP: usual interstitial pneumonia; AIP: acute interstitial pneumonia.