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Updated: Jul 28, 2026

Imaging Features of Systemic Sclerosis-Associated Interstitial Lung Disease
Published on: June 16, 2020
Interstitial pneumonitis associated with "crack" cocaine abuse
A E O'Donnell1, F G Mappin, T J Sebo
1Department of Medicine, Robert L. Thompson Strategic Hospital, Carswell AFB, Texas.
Abstract:
A 33-year-old woman developed acute bilateral pulmonary infiltrates after the intense use of rock cocaine (crack). She subsequently had progressive deterioration of pulmonary function to the point of being ventilator-dependent. Open lung biopsy showed a chronic interstitial pneumonia with extensive accumulation of free silica within histiocytes associated with mild pulmonary fibrosis. This pattern of interstitial pneumonia has not been previously reported in crack users.
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