Chemical pneumonitis natural history, complications, and prognosis

Editor(s)-in-Chief: C. Michael Gibson, M.S., M.D. [1] Phone:617-632-7753; Associate Editor(s)-In-Chief: Priyamvada Singh, M.D. [2]

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Approximately 3 in 5 patients with chemical pneumonitis have clinical improvement with clearing of chest X ray. Approximately 1 in every 3rd patient shows a rapid improvement followed with a new progressive infiltrate that suggests a secondary superimposed bacterial infection or the development of ARDS. The least common course, but the one with the worst prognosis, is the development of fulminant disease resulting in acute death.

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