ABSTRACT
We describe a 70-year-old woman affected by diffuse pulmonary lymphoid hyperplasia (DPLH). DPLH is a rare clinical-pathological entity generally associated with connective tissue diseases, but we diagnosed our case as an idiopathic DPLH. To the best of our knowledge, this is the first case of idiopathic DPLH reported in medical literature.
Subject(s)
Lung Diseases/complications , Lung Diseases/diagnosis , Lung/pathology , Lymphoproliferative Disorders/complications , Lymphoproliferative Disorders/diagnosis , Aged , Female , Glucocorticoids/therapeutic use , Humans , Hyperplasia , Lung Diseases/drug therapy , Lymphoproliferative Disorders/drug therapy , Prednisone/therapeutic useABSTRACT
We report a case of acute fibrinous and organising pneumonia in Whipple's disease with lung improvement after antibiotic therapy. In our knowledge this is the first report of Whipple's disease with acute fibrinous and organising pneumonia.
Subject(s)
Idiopathic Interstitial Pneumonias/pathology , Whipple Disease/pathology , Female , Humans , Idiopathic Interstitial Pneumonias/complications , Middle Aged , Pleural Effusion/etiology , Whipple Disease/complications , Whipple Disease/diagnosisABSTRACT
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.