Desquamative Interstitial Pneumonia with Progressive Pulmonary Fibrosis

被引：0
|
作者：
Utsunomiya, Takuhide [1 ,2 ]
Kinoshita, Yoshiaki [1 ,2 ]
Yoshimura, Masayo [1 ,2 ]
Koide, Yohei [1 ,2 ]
Wada, Kenji [1 ,2 ]
Ueda, Yusuke [1 ,2 ]
Yoshida, Yuji [1 ,2 ]
Kushima, Hisako [1 ,2 ]
Nimura, Satoshi [1 ,2 ]
Ishii, Hiroshi [1 ,2 ]
机构：
[1] Fukuoka Univ, Chikushi Hosp, Dept Resp Med, Chikushino, Japan
[2] Univ Chikushi Hosp, Dept Pathol, Fukuoka, Japan
来源：
INTERNAL MEDICINE | 2024年 / 63卷 / 01期
关键词：
desquamative interstitial pneumonia; nintedanib; progressive pulmonary fibrosis; antifibrotics; LUNG-DISEASE; UPDATE;
D O I：
10.2169/internalmedicine.1802-23
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
A 70-year-old man who smoked was referred to our hospital because of progressive cough and dyspnea. Radiologic images showed ground-glass attenuation predominantly in the lower lung lobes. A surgical lung biopsy was performed, and a diagnosis of desquamative interstitial pneumonia (DIP) was made. The patient's symptoms improved with smoking cessation and steroid treatment, but the ground-glass attenuation did not completely resolve. At 10 years after the diagnosis, the fibrotic lesions deteriorated and treatment with nintedanib was subsequently initiated. Careful observation is needed in patients with DIP whose lung involvement does not completely improve with initial treatment.
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页码：107 / 111
页数：5
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