Respiratory Pathology · Pathology

What is the characteristic histological finding in 'Usual Interstitial Pneumonia' (UIP)?

  1. Uniform interstitial inflammation and fibrosis
  2. Spatial and temporal heterogeneity with fibroblastic foci
  3. Filling of alveoli with PAS-positive lipoproteinaceous material
  4. Extensive intra-alveolar accumulation of macrophages
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Correct answer: Spatial and temporal heterogeneity with fibroblastic foci

UIP, the pattern seen in Idiopathic Pulmonary Fibrosis, is defined by spatial and temporal heterogeneity. This means areas of normal lung exist alongside 'fibroblastic foci' (early lesions) and dense collagenous scarring (late lesions).

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