PT - JOURNAL ARTICLE AU - Theresia A Mikolasch AU - Helen S Garthwaite AU - Joanna C Porter TI - Update in diagnosis and management of interstitial lung disease AID - 10.7861/clinmedicine.16-6-s71 DP - 2016 Dec 01 TA - Clinical Medicine PG - s71--s78 VI - 16 IP - Suppl 6 4099 - http://www.rcpjournals.org/content/16/Suppl_6/s71.short 4100 - http://www.rcpjournals.org/content/16/Suppl_6/s71.full SO - Clin Med2016 Dec 01; 16 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.