Near fatal desquamative interstitial pneumonia with bilateral recurrent tension pneumothorax

Near fatal desquamative interstitial pneumonia with bilateral recurrent tension pneumothorax

Authors

  • Dong Won Park Hanyang University College of Medicine, Seoul, Korea
  • Tae Hyung Kim Hanyang University College of Medicine, Seoul, Korea
  • Jang Won Shon Hanyang University College of Medicine, Seoul, Korea
  • Ho Joo Yoon Hanyang University College of Medicine, Seoul, Korea
  • Sung Soo Park Hanyang University College of Medicine, Seoul, Korea
  • Seok Chol Jeon Hanyang University College of Medicine, Seoul, Korea
  • Yo Won Choi Hanyang University College of Medicine, Seoul, Korea
  • Seung Sam Paik Hanyang University College of Medicine, Seoul, Korea
  • Hyuck Kim Hanyang University College of Medicine, Seoul, Korea

Keywords:

desquamative interstitial pneumonia, tension pneumothorax, macrolide

Abstract

Desquamative interstitial pneumonia (DIP) is an uncommon form of interstitial lung disease demonstrating good response to corticosteroid therapy and favorable prognosis. In rare cases, patients with DIP fail to respond to corticosteroid therapy, and may progress to end-stage fibrotic lung disease with respiratory failure. For such patients, well defined treatment regimen does not exist until now. We report a rare case of near fatal DIP with recurrent bilateral tension pneumothorax despite of corticosteroid maintenance therapy. Clinical and radiological findings improved with surgical intervention in addition to combination therapy with prednisolone and clarithromycin. The patient has remained in an improved state and has been receiving prednisolone and clarithromycin for 9 months. (Sarcoidosis Vasc Diffuse Lung Dis 2015; 32: 167-171)

Author Biographies

Dong Won Park, Hanyang University College of Medicine, Seoul, Korea

Department of Internal Medicine

Tae Hyung Kim, Hanyang University College of Medicine, Seoul, Korea

Department of Internal Medicine

Jang Won Shon, Hanyang University College of Medicine, Seoul, Korea

Department of Internal Medicine

Ho Joo Yoon, Hanyang University College of Medicine, Seoul, Korea

Department of Internal Medicine

Sung Soo Park, Hanyang University College of Medicine, Seoul, Korea

Department of Internal Medicine

Seok Chol Jeon, Hanyang University College of Medicine, Seoul, Korea

Department of radiology

Yo Won Choi, Hanyang University College of Medicine, Seoul, Korea

Department of radiology

Seung Sam Paik, Hanyang University College of Medicine, Seoul, Korea

Department of pathology

Hyuck Kim, Hanyang University College of Medicine, Seoul, Korea

Department of Cardiothoracic Surgery

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Published

22-07-2015

Issue

Section

Case Reports

How to Cite

1.
Park DW, Kim TH, Shon JW, Yoon HJ, Park SS, Jeon SC, et al. Near fatal desquamative interstitial pneumonia with bilateral recurrent tension pneumothorax. Sarcoidosis Vasc Diffuse Lung Dis [Internet]. 2015 Jul. 22 [cited 2025 May 20];32(2):167-71. Available from: https://mattioli1885journals.com/index.php/sarcoidosis/article/view/3527