Intractable Desquamative Interstitial Pneumonia in a Tattooed Man

Abstract

A 20-year-old

Eosinophilia in bronchoalveolar lavage fluid and architectural destruction are features of desquamative interstitial pneumonia

“…The average follow‐up period was 74 months from the suspected onset and 55 months from diagnosis. During these periods, 16 patients were alive, three died of diseases other than DIP and one patient, who did not respond to oral administration of steroids, died of DIP progression 74 months after the diagnosis 15 . At the last visit, there was no DIP‐related dyspnoea in 11 cases, but one patient complained of a cough and another of general malaise.…”

“…During these periods, 16 patients were alive, three died of diseases other than DIP and one patient, who did not respond to oral administration of steroids, died of DIP progression 74 months after the diagnosis. 15 At the last visit, there was no DIP-related dyspnoea in 11 cases, but one patient complained of a cough and another of general malaise. Bronchial asthma with mild dyspnoea and clubbing developed in one subject with persistent pulmonary shadows, who had previously suffered from chronic thyroiditis and atopic dermatitis with peripheral eosinophilia.…”

Desquamative interstitial pneumonia: a systematic review of its features and outcomes

“…https://doi.org/10.1183/16000617.0181-2019 asbestos (n=6), beryllium (n=1), hairspray (n=3), waterproofing spray (n=1), diesel fumes (n=1), fire extinguishing powder (n=1), plastic fumes (n=1) or insecticides (n=2). Finally, in one case, a recent tattoo was proposed as a possible trigger for development of DIP [14]. An unequivocal causal relationship between exposure and the occurrence of DIP could not be established in any of these cases, however, nor was there any information on the level of exposure.…”

“…Data on cellularity of BAL in DIP was scarce (it was only available in eight out of the 68 cases and in two series) [7,12,14,18,21,24,46,48,77,78]. BAL generally demonstrated high numbers of pigmented macrophages, but with a considerable range.…”

Cosmetic and reconstructive medical tattooing

“…Perhaps the most striking tattoo case complication published over the last year is that of a patient who died of desquamative interstitial pneumonia thought to be the result of a foreign body reaction to his tattoo [32 ].…”