Desquamative Interstitial Pneumonia (DIP) in a Patient with Rheumatoid Arthritis: Is DIP Associated with Autoimmune Disorders?

Ishii, Hiroshi; Iwata, Atsuko; Sakamoto, Noriho; Mizunoe, Shunji; Mukae, Hiroshi; Kadota, Jun‐ichi

doi:10.2169/internalmedicine.48.1876

Cited by 32 publications

(13 citation statements)

References 13 publications

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“…One of the authors (YK) identified 75 cases (48 from consultations and 27 newly diagnosed cases throughout Japan over 30 years) of suspected DIP that had been diagnosed by surgical lung biopsy together with clinical radiological and pathological correlation, although not all cases were diagnosed according to the most recent criteria 3 . Twenty‐four cases have been reported previously; 5–11 most of those previous reports did not include the long‐term clinical and radiological follow‐up that was evaluated in this study.…”

Section: Methodsmentioning

confidence: 99%

Desquamative interstitial pneumonia may progress to lung fibrosis as characterized radiologically

et al. 2012

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Section: Methodsmentioning

confidence: 99%

Desquamative interstitial pneumonia may progress to lung fibrosis as characterized radiologically

et al. 2012

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“…Reference [31] by comprehensive evaluation of HRCT findings, various degrees of severity of a reaction of small airways and lung parenchyma to cigarette smoke should be well advised in DIP and RB-ILD. Drug reactions and connective tissue diseases such as scleroderma, lupus and rheumatoid arthritis interrelate with DIP [36]- [38]. Reference [39] studies shows less than 3% of interstitial lung disease comes under DIP; patients in their third to fifth decade are usually affected, with value of males twice to that of females.…”

Section: Desquamative Interstitial Pneumonia (Dip)mentioning

confidence: 99%

Idiopathic Interstitial Pneumonias (IIPs): Review of Clinical, Radiographic and High-Resolution Computed Tomography (HRCT)

Shaikh¹,

Li²,

Li³

2016

ACT

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Making a confident diagnosis is a complex task for a specific form of interstitial lung disease and providing appropriate management in an attempt to achieve normalization of the disease can put up an alarming process for the clinicians. A set of diffuse and restrictive lung diseases incorporate with idiopathic interstitial pneumonias, showing inflammation and fibrosis of the interstitium due to parenchymal damage. High-resolution computed tomography (HRCT) has magnified the diagnostic standpoint in stepwise identification and classified various patterns in the evaluation of interstitial lung disease. The aim of our review is to elaborate clinical, radiographic and typical and atypical HRCT findings of idiopathic interstitial pneumonias by correlating with its differential diagnosis. Idiopathic pulmonary fibrosis is the most predominant idiopathic interstitial pneumonias and its diagnosis needs to omit all other well-known causes of interstitial lung diseases. According to the 2011 evidence-based guidelines, usual interstitial pneumonia can be diagnosed by HRCT when all criteria are fulfilled. Non-specific interstitial pneumonia is distinguished by bilateral patchy ground-glass opacities and irregular linear/reticular opacities. Respiratory bronchiolitis associated-interstitial lung disease and desquamative interstitial pneumonia show centrolobular nodules and ground-glass opacities as imaging patterns. Cryptogenic organizing pneumonia consists of patchy peripheral or peribronchial consolidations, while ground-glass opacities with tendency for migration, which is evolving to fibrosis, in acute interstitial pneumonia. Lymphoid interstitial pneumonia and idiopathic pleuro-parenchymal fibroelastosis are classified under rare idiopathic interstitial pneumonias. HRCT images help radiologists in diagnosis and mapping specific patterns of idiopathic interstitial pneumonias. This article reviews the stages of evolution in HRCT features for idiopathic interstitial pneumonias.

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“…In addition, DIP has been associated with connective tissue disease [43,44], rheumatoid arthritis [45], drugs such as sirolimus [46], infection [47][48][49], and users of large amounts of marijuana [50]. All known causes of DIP other than tobacco smoking are summarised in table 2.…”

Section: ¡063610mentioning

confidence: 99%

Desquamative interstitial pneumonia: an analytic review with an emphasis on aetiology

Godbert¹,

Wissler²,

Vignaud³

2013

Eur Respir Rev

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Desquamative interstitial pneumonia (DIP) is characterised by the accumulation of numerous pigmented macrophages within most of the distal airspace of the lung and, sometimes, the presence of giant cells. Diagnosis of DIP is not easy and requires surgical lung biopsy. DIP is usually associated with tobacco smoke. However, the association between smoking and DIP is less robust than that with respiratory bronchiolitis with interstitial lung disease or pulmonary Langerhans' cell histiocytosis; approximately 10-42% of patients with DIP are nonsmokers. DIP can also occur in patients following exposure to certain inhaled toxins (occupational exposure) and drugs, and may occur in the context of certain viral illnesses and autoimmune diseases. In the context of DIP, occupational exposure should be systematically investigated.

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Desquamative Interstitial Pneumonia (DIP) in a Patient with Rheumatoid Arthritis: Is DIP Associated with Autoimmune Disorders?

Abstract: Abstract

Cited by 32 publications

References 13 publications

Desquamative interstitial pneumonia may progress to lung fibrosis as characterized radiologically

Desquamative interstitial pneumonia may progress to lung fibrosis as characterized radiologically

Idiopathic Interstitial Pneumonias (IIPs): Review of Clinical, Radiographic and High-Resolution Computed Tomography (HRCT)

Desquamative interstitial pneumonia: an analytic review with an emphasis on aetiology

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