Sunday, 7 November 2010

Lymphocytic Interstitial Pneumonitis (LIP)

LIP General Facts:
  • Lymphocytic Interstitial Pneumonitis (LIP) is a lymphoproliferative lung disorder.
  • Pathologically there is diffuse infiltration of lymphocytes, plasma cells & immunoblasts along lymphatics & in alveolar septae.
  • Diagnosis - open lung biopsy, with above histological features & infection excluded.
LIP Clinical Features:
  • Uncommon.
  • No obvious cause apparent.
  • Presents with cough, dyspnoea & fever.
  • Tends to occur earlier rather than later in the course of HIV infection.
LIP Radiological Examination:
Chest Xray:
  • May be normal.
  • Typically reveals reticular or nodular infiltrates.
  • Infiltrates predominantly basilar in location.
CT Chest:
  • Peribronchovascular nodules (2-4 mm in diameter).
  • Ground glass opacities may be present.
LIP Prognosis:
  • Varies from benign course (with spontaneous resolution or stabilisation) to respiratory failure.
Tags: HIV infection - LIP - Lymphocytic Interstitial Pneumonitis - Open Lung Biopsy
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