PT - JOURNAL ARTICLE AU - Christopher J. Brereton AU - Helen E. Jo TI - Acute exacerbations of idiopathic pulmonary fibrosis and the role of corticosteroids AID - 10.1183/20734735.0086-2020 DP - 2020 Sep 01 TA - Breathe PG - 200086 VI - 16 IP - 3 4099 - http://breathe.ersjournals.com/content/16/3/200086.short 4100 - http://breathe.ersjournals.com/content/16/3/200086.full SO - Breathe2020 Sep 01; 16 AB - An acute exacerbation of idiopathic pulmonary fibrosis (AEIPF) is a potentially fatal complication of an already debilitating disease. Management is currently centred on delivering excellent supportive care and identifying reversible triggers. Despite growing international awareness and collaboration, no effective therapies have been identified. Corticosteroids are often the mainstay of treatment; however, the evidence base for their use is poor. Here, we review our current understanding of the disease process and how to manage it, with a focus on the role of corticosteroid therapy.Acute exacerbations of IPF cause a rapid deterioration in respiratory status and are challenging to manage. With few other options, corticosteroids are widely used as standard of care; however. the evidence to support this is poor. https://bit.ly/3gvSokN