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Correspondence
Il Buono, Il Brutto, Il Cattivo
  1. Rajeev Saggar1,
  2. Dinesh Khanna2,
  3. Paul R Forfia3,
  4. Rajan Saggar4
  1. 1 Thoracic Transplantation, Heart-Lung Institute, St Joseph Hospital and Medical Center, Phoenix, Arizona, USA
  2. 2 Division of Rheumatology, Department of Medicine, University of Michigan, Ann Arbor, Michigan, USA
  3. 3 Cardiovascular Division, Temple University School of Medicine, Philadephia, Pennsylvania, USA
  4. 4 David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California, USA
  1. Correspondence to Dr Rajan Saggar, David Geffen School of Medicine, University of California Los Angeles, 10833 Le Conte Ave. CHS 37-131, Los Angeles, CA 90095, USA; rsaggar{at}mednet.ucla.edu

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We appreciate the constructive commentary by Dr Paul Corris and colleagues1 that highlights the merits and limitations of our manuscript. A recent editorial from Dr Vincent Cottin requested that clinical trials, in the setting of pulmonary fibrosis (PF)-associated pulmonary hypertension (PH), ‘should first be conducted in subjects with disproportionate elevation of pulmonary vascular resistance as compared to the severity of pulmonary fibrosis…in whom PH likely contributes the most to exercise limitation and morbidity’.2

In this spirit, the purpose of our study is to emphasise the inclusion of a specific, although less common PF-PH phenotype (excluding sarcoidosis and scleroderma) with advanced pulmonary haemodynamics …

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Footnotes

  • Contributors RS: conceptual design; writing of manuscript; editing of manuscript; agreement to be accountable for all aspects of the work. DK: conceptual design; writing of manuscript; editing of manuscript; agreement to be accountable for all aspects of the work. PRF: conceptual design; writing of manuscript; editing of manuscript; agreement to be accountable for all aspects of the work. RS: conceptual design; writing of manuscript; editing of manuscript; agreement to be accountable for all aspects of the work.

  • Competing interests None.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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