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

Benoît Godbert, Marie-Pierre Wissler, Jean-Michel Vignaud
European Respiratory Review 2013 22: 117-123; DOI: 10.1183/09059180.00005812
Benoît Godbert
*CHU de Nancy, Pôle de spécialités médicales, Service de pneumologie, Nancy, and #CHU de Nancy, Pôle laboratoires, Service d’anatomo-pathologie, Nancy, France.
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  • For correspondence: benoit.godbert@hp-metz.fr
Marie-Pierre Wissler
*CHU de Nancy, Pôle de spécialités médicales, Service de pneumologie, Nancy, and #CHU de Nancy, Pôle laboratoires, Service d’anatomo-pathologie, Nancy, France.
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Jean-Michel Vignaud
*CHU de Nancy, Pôle de spécialités médicales, Service de pneumologie, Nancy, and #CHU de Nancy, Pôle laboratoires, Service d’anatomo-pathologie, Nancy, France.
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Abstract

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.

  • Giant cell
  • interstitial lung disease
  • macrophages
  • occupational lung disease
  • surgical lung biopsy
  • tobacco

Footnotes

  • Provenance

    Submitted article, peer reviewed.

  • Statement of Interest

    None declared.

  • Received September 25, 2012.
  • Accepted October 23, 2012.
  • ©ERS 2013
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Desquamative interstitial pneumonia: an analytic review with an emphasis on aetiology
Benoît Godbert, Marie-Pierre Wissler, Jean-Michel Vignaud
European Respiratory Review Jun 2013, 22 (128) 117-123; DOI: 10.1183/09059180.00005812

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Desquamative interstitial pneumonia: an analytic review with an emphasis on aetiology
Benoît Godbert, Marie-Pierre Wissler, Jean-Michel Vignaud
European Respiratory Review Jun 2013, 22 (128) 117-123; DOI: 10.1183/09059180.00005812
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  • Article
    • Abstract
    • EPIDEMIOLOGICAL AND CLINICAL FEATURES
    • PULMONARY FUNCTION TESTS
    • BIOLOGICAL ANALYSES
    • RADIOLOGICAL FEATURES
    • HISTOLOGICAL FEATURES
    • AETIOLOGIES OF DIP
    • TREATMENT, RESPONSE TO TREATMENT AND PROGNOSIS
    • CONCLUSION
    • Footnotes
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  • Interstitial and orphan lung disease
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