At IPF diagnosis |
Systematic |
Chest HRCT |
FVC and DLCO |
Doppler echocardiography |
Biology |
Antinuclear antibodies |
Anti-citrullinated cyclic peptides antibodies |
Rheumatoid factor |
Differential blood cell count |
C-reactive protein |
Serum creatinine |
Transaminases, γ-glutamyltransferase and alkaline phosphatases |
Occasional |
Video-assisted surgical lung biopsy (see text) |
Differential cell count of BAL (see text) |
TLC and arterial blood gas in room air at rest |
6MWT with measurement of percutaneous oxygen saturation |
Depending on context |
Genetic testing (see text) |
Anti-neutrophil cytoplasmic antibodies |
Anti-SSA and anti-SSB antibodies |
Anti-centromere and anti-topoisomerase antibodies |
Anti-Mi-2, anti-U3RNP and anti-ARNt synthetase antibodies |
Creatine phosphokinase |
Anti-thyroid antibodies |
Precipitines (depending on disease presentation) |
Microbiology of BAL |
Electrophoresis of serum proteins, immuno-electrophoresis of serum proteins, urine immunofixation and cryoglobulinaemia |
Exploration for gastro-oesophageal reflux |
Exploration for sleep apnoea syndrome |
During follow-up |
Every 3 to 6 months |
FVC and DLCO |
Depending on context |
Chest HRCT |
Doppler echocardiography |
TLC |
Arterial blood gas in room air |
Right heart catheterisation (see text) |
HRCT: high-resolution computed tomography; FVC: forced vital capacity; DLCO: diffusing capacity of the lung for carbon monoxide; BAL: bronchoalveolar lavage; TLC: total lung capacity; 6MWT: 6-min walk test.