II. Causes: Chest Wall
- Ankylosing Spondylitis
- Kyphosis
- Morbid Obesity
- Scoliosis
III. Causes: Medications
-
Amiodarone
- Pulmonary fibrosis
-
Methotrexate
- Pulmonary fibrosis
- Hypersensitivity Pneumonitis
- Nitrofurantoin
IV. Causes: Interstitial Lung Disease
- See Interstitial Lung Disease
- Asbestosis
- Berylliosis
- Eosinophilic Pneumonia
- Hypersensitivity pneumonitis
- Idiopathic Pulmonary Fibrosis
- Sarcoidosis
- Silicosis (late stage)
V. Causes: Neuromuscular
VI. Diagnosis: Pulmonary Function Test
- See Pulmonary Function Test
- Criteria
- FEV1 to FVC Ratio >0.7 (or >LLN or for children>85% of predicted) AND
- FVC < LLN (or for age 5 to 18 years old, <80% of predicted)
- Assess Severity
- FVC over 80%: Normal
- FVC over 60%: Mild Restrictive Lung Disease
- FVC over 40-50%: Moderate Restrictive Lung Disease
- FVC under 50%: Severe Restrictive Lung Disease
- Additional testing
- Diffusing lung capacity for Carbon Monoxide (DLCO)
- DLCO to alveolar volume ratio
- Expiratory Reserve Volume
- Precaution
- Note that mixed obstructive-Restrictive Lung Disease can also occur
VII. References
Images: Related links to external sites (from Bing)
Related Studies
| Definition (NCI) | Decreased lung volume and inadequate ventilation due to parenchymal lung disorders (e.g., interstitial pulmonary fibrosis) or extrapulmonary disorders (e.g., scoliosis). Patients present with shortness of breath and cough. |
| Concepts | Disease or Syndrome (T047) |
| SnomedCT | 36485005 |
| English | restrictive lung disease, restrictive lung disease (diagnosis), diseases lung restrictive, disease lung restrictive, Restrictive Lung Disease, Restrictive lung disease, Restrictive lung disease (disorder), Restrictive lung disease, NOS |
| Spanish | enfermedad restrictiva de pulmón, neumopatía restrictiva (trastorno), neumopatía restrictiva |
Ontology: Lung function restrictive (C0429676)
| Concepts | Finding (T033) |
| SnomedCT | 142195009, 165022002 |
| English | Lung function restrictive (situation), Lung function restrictive, Lung function restrictive (finding) |
| Spanish | función pulmonar restrictiva (hallazgo), función pulmonar restrictiva |
Ontology: Restrictive pulmonary disease (C0877013)
| Concepts | Disease or Syndrome (T047) |
| Italian | Malattia polmonare restrittiva |
| Japanese | 拘束性肺疾患, ｺｳｿｸｾｲﾊｲｼｯｶﾝ |
| Czech | Restrikční plicní onemocnění |
| English | restrictive pulmonary disease, pulmonary restrictive disease, diseases pulmonary restrictive, Restrictive pulmonary disease |
| Hungarian | Restrictív tüdőbetegség |
| Portuguese | Doença pulmonar restritiva |
| Spanish | Enfermedad pulmonar restrictiva |
| Dutch | restrictieve longziekte |
| French | Affection pulmonaire restrictive |
| German | restriktive Lungenerkrankung |
