Pulmonary fibrosis

< 1 min read

Causes

There are many different causes of pulmonary fibrosis (PF). Your doctor will do some tests to make sure that you have PF and to look for a cause. Often doctors can't find a reason or cause for PF. When they don't know the cause, it's called ‘idiopathic’. Idiopathic pulmonary fibrosis (IPF) is one of the most common types of PF.

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Causes

Where a cause or risk factor can be identified, PF can be caused by:

  • Genetics: PF can sometimes run in families
  • Things in the environment: This can include air pollution, mould, birds, or other things in your surroundings
  • Things at work: Breathing in things like asbestos, silica, dust or chemicals at work 
  • Autoimmune diseases: These are illnesses where your body’s defense system attacks itself. Rheumatoid arthritis and scleroderma are examples of these
  • Medications or radiation: Some medications or radiation treatment
  • Infections: Tuberculosis and bad chest infections
  • Smoking: Smoking can make PF more likely.

Pulmonary fibrosis known and unknown causes

Pulmonary fibrosis with known causes

Examples

  • Secondary to autoimmune disease (e.g. rheumatoid arthritis, scleroderma)
  • Secondary to non-organic exposures (e.g. heavy asbestos, silica, certain medications)
  • Secondary to organic exposures (e.g. hypersensitivity pneumonitis from mould or birds)
  • Secondary to smoking (e.g. pulmonary Langerhans cell histiocytosis)

Pulmonary fibrosis with no known causes (idiopathic)

Examples

  • Idiopathic pulmonary fibrosis (IPF)
  • Idiopathic non-specific interstitial pneumonia (NSIP)
  • Cryptogenic organising pneumonia (COP)

Other

Examples

  • Sarcoidosis

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Last updated on June 29th, 2025 at 01:55 am

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