Published in:
01-03-2015 | Understanding the Disease
Understanding ARDS-associated fibroproliferation
Authors:
Gianfranco Umberto Meduri, Mahmoud A. Eltorky
Published in:
Intensive Care Medicine
|
Issue 3/2015
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Excerpt
Understanding ARDS-associated lung fibroproliferation requires viewing (1) ARDS as a disease of multifactorial etiology and not as a syndrome and (2) fibroproliferation as an integral part of the disease process and not as a separate temporal component. Although the term “syndrome” (aggregate of symptoms and signs) was applied in its original description [
1], ARDS meets all the constitutive elements of a disease process [
2]. Translational clinical research has constructed—through a “holistic” level of inquiry—a pathophysiological model of ARDS that fits the pathogenesis (biology—core stratum) with morphological (histology—intermediate stratum) and clinical (physiology—outer stratum) findings observed during the course of the disease [
3]. …