Desquamative Interstitial Pneumonia (DIP)
Epidemiology
- Mean Age of Onset: 40’s
- Relationship to Smoking: most cases are smokers
Etiology
- Tobacco Abuse
- Connective Tissue Disease
- Eosinophilic Granuloma
- Asbestosis
- Gauchers Disease
- Niemann-Pick Disease
- Hermansky-Pudlak Syndrome
- Drugs
- Amiodarone (see [[Amiodarone]])
- Busulfan (see [[Busulfan]])
- Interferon Alpha (see [[Interferons]])
- Nitrofurantoin (see [[Nitrofurantoin]])
- Rituximab (see [[Anti-CD20 Therapy]])
- Sirolimus (see [[Sirolimus]])
- Sulfasalazine (see [[Sulfasalazine]])
- Toxins
- Aluminum (see [[Aluminum]])
- Cobalt (see [[Cobalt]]): in combination with tungsten carbide, cobalt produces hard metal pneumoconiosis
- Idiopathic Desquamative Interstitial Pneumonia
Clinical
Treatment
- Good response to steroids (27% 12-year mortality rate)
References