title: Acute Eosinophilic Pneumonia After Resumption of Cigarette Smoking.
abstract: Acute eosinophilic pneumonia is a rare entity characterized by rapidly progressive infiltration of eosinophils into the lungs and is often associated with drug exposure or infection. We report a case of a previously healthy 19-year-old woman who presented with acute progressive dyspnea. Chest radiograph revealed diffuse bilateral infiltrates. Based on the results of bronchoalveolar lavage fluid and her clinical course, she was diagnosed as having acute eosinophilic pneumonia. We suspect that the disease was related to smoking because she had started smoking 3 weeks before the onset of symptoms. Given the high prevalence of smoking and initiation of smoking in the military population, it is important for physicians taking care of this population to be aware of this disorder.
authors.affiliation: Department of Pulmonary Medicine, U.S. Naval Hospital Okinawa, PSC 482, FPO, AP 96362.
authors.forename: Arisa
authors.initials: A
authors.lastname: Takeuchi
authors.affiliation: Department of Pulmonary Medicine, U.S. Naval Hospital Okinawa, PSC 482, FPO, AP 96362.
authors.forename: Christopher
authors.initials: C
authors.lastname: Nelson
authors.affiliation: Department of Pulmonary Medicine, Okinawa Prefectural Chubu Hospital, 281 Aza Miyazato, Uruma City, Okinawa 904-2293, Japan.
authors.forename: Ichita
authors.initials: I
authors.lastname: Yamamoto
authors.affiliation: Department of Pulmonary Medicine, Okinawa Prefectural Chubu Hospital, 281 Aza Miyazato, Uruma City, Okinawa 904-2293, Japan.
authors.forename: Shin
authors.initials: S
authors.lastname: Yamashiro
authors.affiliation: Department of Pulmonary Medicine, U.S. Naval Hospital Okinawa, PSC 482, FPO, AP 96362.
authors.forename: Janet
authors.initials: J
authors.lastname: Myers
mesh_terms: D000208:Acute Disease / Q000628:therapy; D000073865:Cigarette Smoking / Q000009:adverse effects*; D004417:Dyspnea / Q000209:etiology; D004804:Eosinophils / Q000378:metabolism / Q000382:microbiology; D005260:Female; D006801:Humans; D007958:Leukocyte Count / Q000379:methods; D008889:Military Personnel; D011657:Pulmonary Eosinophilia / Q000150:complications* / Q000175:diagnosis* / Q000503:physiopathology*; D013902:Radiography, Thoracic / Q000379:methods; D013256:Steroids / Q000494:pharmacology / Q000627:therapeutic use; D055815:Young Adult
chemical_list: D013256:Steroids