Desquamative interstitial pneumonia is a form of idiopathic interstitial pneumonia that is more common in cigarette smokers (90%) in their fourth or fifth decade of life, but may be seen in nonsmokers, in patients with underlying connective tissue diseases, or in patients exposed to inorganic dust / particles.
Most patients present with dyspnea and cough, and hypoxia can be seen. Treatment surrounds smoking cessation, but immunosuppressants are frequently required. See nicotine dependence for information on smoking cessation.
Desquamative interstitial pneumonia
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Synopsis

Codes
ICD10CM:
J84.117 – Desquamative interstitial pneumonia
SNOMEDCT:
8549006 – Desquamative Interstitial Pneumonia
J84.117 – Desquamative interstitial pneumonia
SNOMEDCT:
8549006 – Desquamative Interstitial Pneumonia
Differential Diagnosis & Pitfalls
- Nonspecific interstitial pneumonia
- Lymphoid interstitial pneumonia
- Usual interstitial pneumonia (idiopathic pulmonary fibrosis)
- Respiratory bronchiolitis-associated interstitial lung disease
- Pulmonary Langerhans cell histiocytosis
Best Tests
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Drug Reaction Data
Below is a list of drugs with literature evidence indicating an adverse association with this diagnosis. The list is continually updated through ongoing research and new medication approvals. Click on Citations to sort by number of citations or click on Medication to sort the medications alphabetically.
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References
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Last Updated:11/13/2019