ABSTRACT

Respiratory bronchiolitis-associated interstitial lung disease (RB-ILD) and des-

quamative interstitial pneumonia (DIP) are two of the seven entities currently

classified under the rubric of idiopathic interstitial pneumonias (1). These two

terms are used in referring to clinical-radiologic-pathologic diagnoses;

underlying histopathologic patterns are RB and DIP, respectively (1). Accu-

mulated evidence suggests that these disorders are related to cigarette smoking

in most cases, i.e., smoking-related interstitial lung diseases (2,3). Cigarette

smoke is a complex mixture of more than 6000 diverse chemicals and is the

leading cause of preventable deaths in the United States (4,5). RB-ILD and DIP

are highly related and with more extensive changes seen in DIP compared with

RB-ILD.