Desquamative interstitial pneumonia: Risk factors, laboratory and bronchoalveolar lavage findings, radiological and histopathological examination, clinical features, treatment and prognosis (Review)

Diken,Özlem  Erçen; Şengül,Aysun; Coşkun Beyan,Ayşe; Ayten,Ömer; Mutlu,Levent  Cem; Okutan,Oğuzhan

doi:10.3892/etm.2018.7030

January-2019 Volume 17 Issue 1

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January-2019 Volume 17 Issue 1

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Review

Desquamative interstitial pneumonia: Risk factors, laboratory and bronchoalveolar lavage findings, radiological and histopathological examination, clinical features, treatment and prognosis (Review)

Authors:
- Özlem Erçen Diken
- Aysun Şengül
- Ayşe Coşkun Beyan
- Ömer Ayten
- Levent Cem Mutlu
- Oğuzhan Okutan
View Affiliations / Copyright

Affiliations: Department of Chest Diseases, Hitit University School of Medicine, 19100 Çorum, Turkey, Department of Chest Diseases, Kocaeli Derince Education and Research Hospital, 41900 Kocaeli, Turkey, Department of Chest Diseases, Dokuz Eylül University School of Medicine, 35800 İzmir, Turkey, Department of Chest Diseases, GATA Education and Research Hospital, 34744 İstanbul, Turkey, Department of Chest Diseases, Namık Kemal University School of Medicine, 59000 Tekirdağ, Turkey
Pages: 587-595
|
Published online on: November 29, 2018

https://doi.org/10.3892/etm.2018.7030
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Abstract

Desquamative interstitial pneumonia is a type of smoking‑associated major idiopathic interstitial pneumonia, which is characterized by accumulation of alveolar macrophages in alveolar lumens and septa and develops secondary to mainly active or passive exposure to cigarette smoke. Desquamative interstitial pneumonia mostly occurs in male smokers in association with non‑specific symptoms responsive to steroid therapy and has a better prognosis than usual interstitial pneumonia. To date, no large‑scale clinical studies have been performed on desquamative interstitial pneumonia patients. Factors responsible for the scarcity of data on the clinical course of this condition include the retrospective nature of the available information as well as its rare occurrence. Despite this, a general consensus exists as to the nature of its symptoms, association with smoking, age and gender distribution, findings of respiratory function tests, steroid responsivity and mortality. The objective of the present review article was to report on desquamative interstitial pneumonia and to describe its etiology, risk factors and clinical features, as well as the laboratory, bronchoalveolar lavage, radiological and histopathological findings, and the treatment and prognosis of affected patients.

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Desquamative interstitial pneumonia: Risk factors, laboratory and bronchoalveolar lavage findings, radiological and histopathological examination, clinical features, treatment and prognosis (Review)

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