Introduction

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.

Areas covered

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.

Expert opinion

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.

中文翻译：

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吸烟相关性间质性肺疾病：更新和审查。

介绍

吸烟相关的间质性肺疾病表现为几种异质性疾病，涉及气道，胸膜和肺实质，并具有各种放射学特征。临床病史，放射学和病理学发现对于区分这些较罕见的疾病很重要。建议采用多学科方法进行诊断并适当管理这些状况。

覆盖区域

这篇综述概述了急性嗜酸性粒细胞性肺炎，电子烟或与雾相关的肺损伤，呼吸道细支气管炎，间质性肺病，剥脱性间质性肺炎，肺朗格汉斯细胞组织增多症的流行病学，危险因素，发病机理，临床特征，诊断和治疗，特发性肺纤维化和合并肺纤维化的肺气肿。

专家意见

吸烟与影响气道和肺部的多种病理状况有关。电子烟的使用和电子烟对临床医生提出了新的挑战。临床，影像学和病理学发现之间的共识对于识别和区分各种实体以正确诊断与吸烟相关的间质性肺病至关重要，这一点在本综述中进行了讨论。