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- Takuhide Utsunomiya, Yoshiaki Kinoshita, Masayo Yoshimura, Yohei Koide, Kenji Wada, Yusuke Ueda, Yuji Yoshida, Hisako Kushima, Satoshi Nimura, and Hiroshi Ishii.
- Department of Respiratory Medicine, Fukuoka University Chikushi Hospital, Japan.
- Intern. Med. 2024 Jan 1; 63 (1): 107111107-111.
AbstractA 70-year-old man who smoked was referred to our hospital because of progressive cough and dyspnea. Radiologic images showed ground-glass attenuation predominantly in the lower lung lobes. A surgical lung biopsy was performed, and a diagnosis of desquamative interstitial pneumonia (DIP) was made. The patient's symptoms improved with smoking cessation and steroid treatment, but the ground-glass attenuation did not completely resolve. At 10 years after the diagnosis, the fibrotic lesions deteriorated and treatment with nintedanib was subsequently initiated. Careful observation is needed in patients with DIP whose lung involvement does not completely improve with initial treatment.
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