Learnings from the case
- Preserved lung volumes do not exclude IPF even in the absence of emphysema.
- Current data support the initiation of antifibrotic treatment in IPF patients with preserved lung volumes (FVC>80%).
- Despite the preserved FVC, DLCO deterioration seems to correlate better with progression of fibrosis on HRCT.1
Wells AU et al. Am J Respir Crit Care Med