Respiratory bronchiolitis associated with interstitial lung disease.
Respiratory bronchiolitis associated with interstitial lung disease (RB-ILD), first described by Niewoehner et al in an autopsy study of cigarette smokers who died from non pulmonary causes in 1974, is a rare entity that should be distinguished from the other interstitial lung diseases and in particular from desquamative interstitial pneumonia, although the two conditions share a similar histopathological pattern. RB-ILD is clearly connected with tobacco smoking and has been inserted in the "smoking related interstitial lung diseases" together with DIP and Cell histiocytosis of Langerhans; it may also be associated with occupational exposure to machine fumes. The following is a case report of a patient with both smoking and occupational exposure.
Canessa
P A
PA
UO Pneumologia, Ospedale S Bartolomeo, Sarzana (SP), Italy. pieraldo.canessa@ausl5.la-spezia.it
Pratticò
L
L
Bancalari
L
L
Fedeli
F
F
Bacigalupo
B
B
Silvano
S
S
D001988:Bronchiolitis / Q000150:complications* / Q000175:diagnosis / Q000473:pathology; D003937:Diagnosis, Differential; D006801:Humans; D017563:Lung Diseases, Interstitial / Q000150:complications* / Q000175:diagnosis / Q000473:pathology; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D012129:Respiratory Function Tests; D012907:Smoking / Q000009:adverse effects*