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Open AccessReview

HRCT Patterns of Drug-Induced Interstitial Lung Diseases: A Review

1
Radiology Unit 1, Department of Medical Surgical Sciences and Advanced Technologies “GF Ingrassia”-University Hospital “Policlinico-Vittorio Emanuele”, University of Catania, 95123 Catania, Italy
2
Department of Clinical and Experimental Medicine, University of Catania, Regional Referral Centre for Rare Lung Disease, 95123 Catania, Italy
*
Author to whom correspondence should be addressed.
Diagnostics 2020, 10(4), 244; https://doi.org/10.3390/diagnostics10040244
Received: 26 March 2020 / Revised: 14 April 2020 / Accepted: 20 April 2020 / Published: 22 April 2020
(This article belongs to the Special Issue Clinical and Radiological Features of Interstitial Lung Diseases)
Interstitial Lung Diseases (ILDs) represent a heterogeneous group of pathologies, which may be related to different causes. A low percentage of these lung diseases may be secondary to the administration of drugs or substances. Through the PubMed database, an extensive search was performed in the fields of drug toxicity and interstitial lung disease. We have evaluated the different classes of drugs associated with pulmonary toxicity. Several different high resolution computed tomography (HRCT) patterns related to pulmonary drug toxicity have been reported in literature, and the most frequent ILDs patterns reported include Nonspecific Interstitial Pneumonia (NSIP), Usual Interstitial Pneumonia (UIP), Hypersensitivity Pneumonitis (HP), Organizing Pneumonia (OP), Acute Respiratory Distress Syndrome (ARDS), and Diffuse Alveolar Damage (DAD). Finally, from the electronic database of our Institute we have selected and commented on some cases of drug-induced lung diseases related to the administration of common drugs. As the imaging patterns are rarely specific, an accurate evaluation of the clinical history is required and a multidisciplinary approach—involving pneumologists, cardiologists, radiologists, pathologists, and rheumatologists—is recommended. View Full-Text
Keywords: lung diseases; interstitial; multidetector computed tomography; idiopathic pulmonary fibrosis; toxicity; respiratory distress syndrome; acute lung diseases; interstitial; multidetector computed tomography; idiopathic pulmonary fibrosis; toxicity; respiratory distress syndrome; acute
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Distefano, G.; Fanzone, L.; Palermo, M.; Tiralongo, F.; Cosentino, S.; Inì, C.; Galioto, F.; Vancheri, A.; Torrisi, S.E.; Mauro, L.A.; Foti, P.V.; Vancheri, C.; Palmucci, S.; Basile, A. HRCT Patterns of Drug-Induced Interstitial Lung Diseases: A Review. Diagnostics 2020, 10, 244.

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