Pulmonary Fibrosis and Interstitial Lung Disease (ILD)

Pulmonary Fibrosis and Interstitial Lung Disease (ILD)

Including Asbestosis, Pneumoconiosis (Black Lung), and Silicosis

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If you’ve been diagnosed with pulmonary fibrosis or interstitial lung disease (ILD), you probably have serious questions: Are there treatments that will reduce my fatigue and shortness of breath, so I can go about my life? Is there a way to keep my disease from getting worse? Will this disease shorten my life?

At Duke, our nationally ranked lung program has extensive experience helping people like you. While there is no cure for pulmonary fibrosis and other interstitial lung diseases, there are treatments that can help you control your symptoms, prevent complications, and slow disease progression. Our goal is to help you manage your disease and improve your quality of life.

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Pulmonary Rehabilitation

We offer supervised exercise, education, and tools to help you eat right, quit smoking, lose weight, and make other lifestyle changes. The goal is to improve your symptoms and help you keep your interstitial lung disease under control.


A variety of immunosuppressants and steroids are used to treat interstitial lung disease. These may be given in oral or IV form. In addition, two anti-scarring medicines are now available to treat idiopathic pulmonary fibrosis -- pirfenidone (Esbriet) and nintedanib (OFEV).

Supplemental Oxygen

Receiving oxygen through a tube or mask can help you breathe easier and sleep better. Our triage nurses work closely with oxygen companies to help you obtain supplies and equipment.

Lung Transplant

If your interstitial lung disease is severe, you may require a lung transplant. We are among the nation’s leaders in the number of lung transplants performed each year and in patient survival rate.

Our Locations
Duke Health offers locations throughout the Triangle. Find one near you.


Chest X-Ray

Images of your lungs can reveal signs of interstitial lung disease, including inflammation and scarring.

CT Scan

Shows the extent of damage caused by interstitial lung disease.

Blood Tests

Identify autoimmune diseases and other conditions that may contribute to your symptoms.

Pulmonary Function Tests

Breathing tests that measure how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs move oxygen into, and carbon dioxide out of, your body.

Exercise Stress Test

Monitors how your lungs function when you're active.

Lung Biopsy

Removes a small amount of tissue for examination under a microscope. This is often the only way to diagnose interstitial lung disease accurately.

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Why Choose Duke

Personalized Care from a Team of Experts
Our pulmonologists have experience treating every stage of your disease. They partner with radiologists, cardiologists, pathologists, rehab specialists, and other professionals to develop a treatment plan that’s tailored to your needs.

Access to the Latest Treatments.
Our lung disease team in Durham frequently enrolls patients in clinical trials that test new treatments for pulmonary fibrosis and other interstitial lung diseases.

Tools and Support to Improve Your Quality of Life
Our pulmonary rehabilitation program helps you learn about your condition and make lifestyle changes so you can better control your interstitial lung disease.

Convenient, Coordinated Care
If you live outside the Raleigh-Durham area, we’ll coordinate your care with your local doctors.

A Leader in Lung Transplants
If you need a lung transplant, our transplant program ranks among the nation’s best, with survival rates above the national average and one of the shortest wait times in the U.S.

Best Hospital for Pulmonology and Lung Surgery in NC
When it comes to your care, you want the very best. Duke University Hospital's nationally ranked pulmonology and lung surgery program was named best in North Carolina by U.S. News & World Report for 2019–2020.