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. 2019 Sep 27;6:209. doi: 10.3389/fmed.2019.00209

Table 2.

Classification criteria for interstitial pneumonia with autoimmune features [adapted from Fischer et al. (3)].

A. Clinical domain B. Serologic domain C. Morphologic domain
1. Distal digital fissuring (mechanic hands)
2. Distal digital tip ulceration
3. Inflammatory arthritis or polyarticular morning joint stiffness >60 min
4. Palmar telangiectasia
5. Raynaud's phenomenon
6. Unexplained digital oedema
7. Unexplained fixed rash on the digital extensor surfaces (Gottron's sign)
1. ANA ≥1: 320 titer, diffuse, speckled, homogeneous patterns or
  a) ANA nucleolar pattern (any titer) or
  b) ANA centromere pattern (any titer)
2. Rheumatoid factor ≥2× upper limit of normal
3. Anti-CCP
4. Anti-dsDNA
5. Anti-Ro (SS-A)
6. Anti-La (SS-B)
7. Anti-ribonucleoprotein
8. Anti-Smith
9. Anti-topoisomerase (Scl-70)
10. Anti-tRNA synthetase (e.g., Jo-1, PL-7, PL-12; others are: EJ, OJ, KS, Zo, tRS)
11. Anti-PM-Scl
12. Anti-MDA-5
1. Suggestive radiology patterns by high-resolution computed tomography (HRCT):
  a) NSIP
  b) OP
  c) NSIP with OP overlap
  d) LIP
2. Histopathology patterns or features by surgical lung biopsy:
  a) NSIP
  b) OP
  c) NSIP with OP overlap
  d) LIP
  e) Interstitial lymphoid aggregates with germinal centers
  f) Diffuse lymphoplasmacytic infiltration (with or without lymphoid follicles)
3. Multi-compartment involvement (in addition to interstitial pneumonia):
  a) Unexplained pleural effusion or thickening
  b) Unexplained pericardial effusion or thickening
  c) Unexplained intrinsic airways disease
  d) Unexplained pulmonary vasculopathy

ANA, antinuclear antibody; HRCT, high-resolution computed tomography; IPAF, interstitial pneumonia with autoimmune features; LIP, lymphoid interstitial pneumonia; NSIP, non-specific interstitial pneumonia; OP, organizing pneumonia; PFT, pulmonary function testing.