Diagnosis and Management of ILDs in Pakistan

The ILD Guideline, developed under the ILD Pakistan initiative, offers a structured, evidence-based framework for the diagnosis and management of Interstitial Lung Diseases in Pakistan. Authored by a multidisciplinary panel of pulmonologists, radiologists, and researchers, it reflects updated international criteria, local clinical challenges, and practical recommendations including HRCT interpretation and anti-fibrotic therapy use. This national guideline aims to standardize ILD care across institutions, promote early diagnosis, and improve treatment outcomes through collaborative clinical practice.

Idiopathic and CTD Associated NSIP

The Second Part of this document reviews Connective Tissue Disease Associated Interstitial Lung Disease (CTD-ILD). Not minimizing the importance of ILD occurring in established CTD, it is looking beyond the frontier that is so important and interesting when despite the lung interstitium being a major target of CTD associated auto immunity, the lung is over looked during the diagnosis of CTD. Also, ILD cases having a rheumatologic flavor may not meet criteria of the definite CTD although a quarter of them would progress to CTD in the future.