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. 2020 May 7;158(5):2026–2033. doi: 10.1016/j.chest.2020.04.047

Figure 2.

Figure 2

Predisposing, precipitating and perpetuating factors that can cause or aggravate fatigue in interstitial lung disease. Most of these factors are interrelated, and some are related in a bidirectional way. ACTH = adrenocorticotropic hormone.