Desquamative interstitial pneumonia: If there is smoke there is fire

Desquamative interstitial pneumonia (DIP) is a rare type of idiopathic interstitial lung disease (ILD) predominantly seen in smokers. Connective tissue diseases (CTDs) are one of the important causes of ILD and may have lung involvement antedating their usual manifestations, making the diagnosis dif...

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Main Authors: Amit Panjwani, Husain Kadhem, Saadeya Naji Abdulkarim, Umesh Nabar
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-12-01
Series:The Journal of Association of Chest Physicians
Subjects:
Online Access:https://journals.lww.com/10.4103/jacp.jacp_39_23
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author Amit Panjwani
Husain Kadhem
Saadeya Naji Abdulkarim
Umesh Nabar
author_facet Amit Panjwani
Husain Kadhem
Saadeya Naji Abdulkarim
Umesh Nabar
author_sort Amit Panjwani
collection DOAJ
description Desquamative interstitial pneumonia (DIP) is a rare type of idiopathic interstitial lung disease (ILD) predominantly seen in smokers. Connective tissue diseases (CTDs) are one of the important causes of ILD and may have lung involvement antedating their usual manifestations, making the diagnosis difficult. Interstitial pneumonia with autoimmune features (IPAFs) are ILDs having autoimmune features but not fulfilling the criteria for a definite CTD. A small minority of IPAF cases may progress to CTD–related ILD over a period. Usual interstitial pneumonia (UIP) and nonspecific interstitial pneumonia are common radiological and histopathological patterns associated with IPAF. DIP is a rare manifestation of IPAF. Patients with IPAF and a non-UIP pattern may benefit from immunomodulation. We present a rare case of DIP in a nonsmoker, who was initially labeled as idiopathic ILD but eventually evolved into IPAF and exhibited a good response to immunosuppressive treatment.
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series The Journal of Association of Chest Physicians
spelling doaj-art-8f068348e99f4f41b4a792f147754e6d2025-01-20T07:27:36ZengWolters Kluwer Medknow PublicationsThe Journal of Association of Chest Physicians2320-87752023-12-0111423624010.4103/jacp.jacp_39_23Desquamative interstitial pneumonia: If there is smoke there is fireAmit PanjwaniHusain KadhemSaadeya Naji AbdulkarimUmesh NabarDesquamative interstitial pneumonia (DIP) is a rare type of idiopathic interstitial lung disease (ILD) predominantly seen in smokers. Connective tissue diseases (CTDs) are one of the important causes of ILD and may have lung involvement antedating their usual manifestations, making the diagnosis difficult. Interstitial pneumonia with autoimmune features (IPAFs) are ILDs having autoimmune features but not fulfilling the criteria for a definite CTD. A small minority of IPAF cases may progress to CTD–related ILD over a period. Usual interstitial pneumonia (UIP) and nonspecific interstitial pneumonia are common radiological and histopathological patterns associated with IPAF. DIP is a rare manifestation of IPAF. Patients with IPAF and a non-UIP pattern may benefit from immunomodulation. We present a rare case of DIP in a nonsmoker, who was initially labeled as idiopathic ILD but eventually evolved into IPAF and exhibited a good response to immunosuppressive treatment.https://journals.lww.com/10.4103/jacp.jacp_39_23desquamative interstitial pneumonianonsmokerinterstitial pneumonia with autoimmune featuressteroids
spellingShingle Amit Panjwani
Husain Kadhem
Saadeya Naji Abdulkarim
Umesh Nabar
Desquamative interstitial pneumonia: If there is smoke there is fire
The Journal of Association of Chest Physicians
desquamative interstitial pneumonia
nonsmoker
interstitial pneumonia with autoimmune features
steroids
title Desquamative interstitial pneumonia: If there is smoke there is fire
title_full Desquamative interstitial pneumonia: If there is smoke there is fire
title_fullStr Desquamative interstitial pneumonia: If there is smoke there is fire
title_full_unstemmed Desquamative interstitial pneumonia: If there is smoke there is fire
title_short Desquamative interstitial pneumonia: If there is smoke there is fire
title_sort desquamative interstitial pneumonia if there is smoke there is fire
topic desquamative interstitial pneumonia
nonsmoker
interstitial pneumonia with autoimmune features
steroids
url https://journals.lww.com/10.4103/jacp.jacp_39_23
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AT husainkadhem desquamativeinterstitialpneumoniaifthereissmokethereisfire
AT saadeyanajiabdulkarim desquamativeinterstitialpneumoniaifthereissmokethereisfire
AT umeshnabar desquamativeinterstitialpneumoniaifthereissmokethereisfire