关键词: Lung disease bronchiolitis emphysema fibrosis histiocytosis interstitial Lung disease langerhans-Cell smoking vaping

Mesh : Bronchiolitis Electronic Nicotine Delivery Systems Humans Idiopathic Pulmonary Fibrosis Lung / pathology Lung Diseases, Interstitial / chemically induced epidemiology etiology pathology Pulmonary Emphysema Pulmonary Eosinophilia Risk Factors Smoking / adverse effects

来  源:   DOI:10.1080/17476348.2020.1766971   PDF(Sci-hub)

Abstract:
Smoking-associated interstitial lung disease manifests as several heterogeneous disorders involving the airways, pleura, and lung parenchyma with various radiological patterns. The clinical history, radiologic, and pathologic findings are important to distinguish these more uncommon diseases. A multidisciplinary approach is recommended for diagnosis and to manage these conditions appropriately.
This review provides an overview of the epidemiology, risk factors, pathogenesis, clinical features, diagnosis, and treatment of acute eosinophilic pneumonia, e-cigarettes, or vaping associated lung injury, respiratory bronchiolitis interstitial lung disease, desquamative interstitial pneumonitis, pulmonary Langerhans cell histiocytosis, idiopathic pulmonary fibrosis, and combined pulmonary fibrosis emphysema.
Cigarette smoking is associated with a variety of pathologic conditions that affect the airways and lungs. E-cigarette use and vaping present new challenges to the clinician. Consensus between the clinical, radiographic, and pathologic findings is important in identifying and differentiating between the various entities to properly diagnose smoking-related interstitial lung diseases discussed in this review.
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