title: Intractable desquamative interstitial pneumonia in a tattooed man.
abstract: A 20-year-old man with a 15 pack-year history of cigarette smoking had a tattoo outlined on his back with blue pigment. He noticed a dry cough and shortness of breath on exertion when the pigment of other colors was added at the age of 27. He visited our hospital two years later because of severe dyspnea. He was diagnosed with desquamative interstitial pneumonia by surgical lung biopsy. Steroid therapy with cessation of smoking was partially effective, however his disease worsened again and he died three and a half years after the diagnosis because of respiratory failure.
authors.affiliation: National Hospital Organization Kinki-chuo Chest Medical Center, Osaka, Japan.
authors.forename: Toru
authors.initials: T
authors.lastname: Arai
authors.forename: Yoshikazu
authors.initials: Y
authors.lastname: Inoue
authors.forename: Seiji
authors.initials: S
authors.lastname: Hayashi
authors.forename: Masanori
authors.initials: M
authors.lastname: Akira
authors.forename: Satoru
authors.initials: S
authors.lastname: Yamamoto
authors.forename: William D
authors.initials: WD
authors.lastname: Travis
authors.forename: Mitsunori
authors.initials: M
authors.lastname: Sakatani
mesh_terms: D000328:Adult; D004396:Coloring Agents / Q000009:adverse effects*; D017809:Fatal Outcome; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D017563:Lung Diseases, Interstitial / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology* / Q000628:therapy; D008297:Male; D012131:Respiratory Insufficiency / Q000209:etiology; D012907:Smoking / Q000009:adverse effects*; D016540:Smoking Cessation; D013653:Tattooing / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed
chemical_list: D004396:Coloring Agents; D005938:Glucocorticoids