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Diagnosis and Treatment

David G. Ashbaugh, MD; Ronald V. Maier, MD

Arch Surg. 1985;120(5):530-535.

Abstract
• Ten consecutive patients who presented initially with adult respiratory distress syndrome, and who did not respond to conventional treatment, underwent open lung biopsy early in the course of their illness. Idiopathic pulmonary fibrosis was diagnosed and aggressive treatment with methylprednisolone sodium succinate and nutritional support was initiated. Eight patients survived and have not required long-term corticosteroid therapy. Previous reports have documented a mortality of greater than 85% with this particular syndrome of idiopathic pulmonary fibrosis in adult respiratory distress syndrome.

(Arch Surg 1985;120:530-535)

Author Affiliations
From the Departments of Surgery, University of Washington, Seattle, and St Luke's and St Alphonsus hospitals, Boise, Idaho. Dr Ashbaugh is also in private practice in Boise.

Footnotes
Accepted for publication Feb 5, 1985.

Read before the 92nd annual meeting of the Western Surgical Association, Colorado Springs, Colo, Nov 12, 1985.

Reprint requests to 333 N First St, Suite 280, Boise, ID 83702 (Dr Ashbaugh).

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