Rejected at 2:36 p.m. Jan, 26, 2025 ] by DillingerMed
Author: amanbakhsh
Related Note: 1473707205508 3
Rationale for change

Intimal hyperplasia (not fibrosis) is the correct term for the thickening of the intimal layer in PAH.

Fibrosis refers to excessive deposition of collagen in the lung parenchyma (e.g., alveoli and interstitium), which is characteristic of ILD, not PAH.

This revision ensures accuracy and avoids conflating PAH with ILD.

Key Distinction:
PAH: Vascular changes (intimal hyperplasia, medial hypertrophy, plexiform lesions).

ILD: Parenchymal changes (alveolar and interstitial fibrosis).
Source: UWorld - Step 2 12136

Rejection reason

see comments

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