RT Journal Article SR Electronic T1 Update in diagnosis and management of interstitial lung disease  JF Clinical Medicine JO Clin Med FD Royal College of Physicians SP 146 OP 153 DO 10.7861/clinmedicine.17-2-146 VO 17 IS 2 A1 Theresia A Mikolasch A1 Helen S Garthwaite A1 Joanna C Porter YR 2017 UL http://www.rcpjournals.org/content/17/2/146.abstract AB The field of interstitial lung disease (ILD) has undergone significant evolution in recent years, with an increasing incidence and more complex, ever expanding disease classification. In their most severe forms, these diseases lead to progressive loss of lung function, respiratory failure and eventually death. Despite notable advances, progress has been challenged by a poor understanding of pathological mechanisms and patient heterogeneity, including variable progression. The diagnostic pathway is thus being continually refined, with the introduction of tools such as transbronchial cryo lung biopsy and a move towards genetically aided, precision medicine. In this review, we focus on how to approach a patient with ILD and the diagnostic process.