New Entities in Smoking Related Lung Disease
New Entities in Smoking Related Lung Disease
New Entities in Smoking Related Lung Disease
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The Military Experience<br />
• Analysis of 15 different brands of<br />
tobacco available <strong>in</strong> the theater of<br />
operation revealed no unusual<br />
components, tox<strong>in</strong>s, pesticide residues<br />
or significant microbial colonization.<br />
CHEST 2008; 133: 1174-1180<br />
Diagnosis of Eos<strong>in</strong>ophilic<br />
Pneumonia<br />
• Triad of f<strong>in</strong>d<strong>in</strong>gs with<strong>in</strong> airspaces<br />
– Macrophages (often mult<strong>in</strong>ucleate)<br />
– Fibr<strong>in</strong><br />
– Eos<strong>in</strong>ophils<br />
• Often, the clue will be the macrophages<br />
rather than the eos<strong>in</strong>ophils<br />
• Be aware of steroid adm<strong>in</strong>istration<br />
– Hypereos<strong>in</strong>ophilic, granular fibr<strong>in</strong><br />
5/28/2011<br />
3
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