Publikation

Respiratory bronchiolitis-interstitial lung disease: A rare complication of smoking

Wissenschaftlicher Artikel/Review - 15.07.2022

Bereiche
Schlagwörter (Tags)
Bilateral miliary; CT; Tuberculosis; Lung
Link
Kontakt

Zitation
Isic E, Rassouli F, Rodriguez R, Kluckert J, Brutsche M. Respiratory bronchiolitis-interstitial lung disease: A rare complication of smoking. Open Journal of Clinical & Medical Case Reports 2022; 8 (2022)
Art
Wissenschaftlicher Artikel/Review (Englisch)
Zeitschrift
Open Journal of Clinical & Medical Case Reports 2022; 8 (2022)
Veröffentlichungsdatum
15.07.2022
eISSN (Online)
2379-1039
Kurzbeschreibung/Zielsetzung

A 58-year-old male and a 52-year-old female, both active smokers, presented an incidental finding of bilateral miliary, centrilobular, diffuse ground glass-like opacities on their chest CT. The differential diagnosis
is broad and includes miliary tuberculosis and vasculitis and could be ruled out after bronchoalveolar lavage and transbronchial biopsies. Lung cryobiopsy revealed interstitial and intraalveolar accumulation of
brownish pigmented alveolar macrophages with small, fine-granular, anthracotic particles, i.e. “smokers
macrophages”. The diagnosis of bronchiolitis-interstitial lung disease was retained at the institutional multidisciplinary ILD-board. Partial and complete remission was observed after smoking cessation.