Desquamative Interstitial Pneumonia: A Change of Diagnosis Through Multidisciplinary Interstitial Lung Disease Team Evaluation

Abstract:

Introduction Desquamative interstitial pneumonia (DIP) is a rare form of smoking-related interstitial lung disease (SR-ILD) characterized by accumulation of pigmented macrophages in the alveoli. We present a case of DIP diagnosed through reevaluation in and multidisciplinary team. Case report A 61-year-old female, previously a heavy smoker (50 pack-years), presented with a 10-year history of dyspnea. She had been assessed in other centers where an idiopathic pulmonary fibrosis (IPF) diagnosis was made 10 years ago, no treatment was prescribed without any worsening of the symptoms throughout this period. On physical examination basal fine inspiratory crackles were present. Lung function tests revealed a mild restrictive disorder (FEV1 73%, TLC 69%) and a mild reduction of diffusing capacity (DLCO 70%), as well as a 6 minute walk test which was normal with slight desaturation (SpO2 after walk 87 …

Año de publicación:

2020

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Fuente:

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