Table 3

Pathological characteristics of cases 1, 2 and 4–6 with humidifier disinfectant-associated lung injury

Histological featuresCase 1Case 2Case 4Case 5Case 6_initialCase 6_2nd
Specimen typeExplantationAutopsyExplantationWedgeWedgeExplantation
StageLateLateLateLateEarlyLate
Pattern of distribution
 Anatomic distributionCentrilobularCentrilobularCentrilobularCentrilobularCentrilobularCentrilobular
 Diffuse vs patchyPatchyDiffuseDiffuseDiffusePatchyDiffuse
 Subpleural and peripheral sparingPresentPresentPresentPresentPresentPresent
 Temporal homogeneityHomogeneousHomogeneousHomogeneousHomogeneousHomogeneousHomogeneous
Pattern of fibrosis
 Interstitial fibroblastic proliferationPresentPresentPresentPresentPresentPresent
 Collagenous fibrosisAbsentPresentPresentPresentAbsentPresent
 Smooth muscle metaplasiaAbsentAbsentAbsentAbsentAbsentAbsent
 Ring fibrosisAbsentAbsentAbsentAbsentAbsentAbsent
 Microscopic honeycomb changeAbsentAbsentAbsentAbsentAbsentAbsent
Alveolar pathology
 Hyaline membranePresentAbsentAbsentAbsentPresentPresent
 Alveolar pneumocyte hyperplasiaPresentPresentPresentPresentPresentPresent
 Fibrin thrombi in pulmonary arteriesAbsentAbsentAbsentAbsentAbsentAbsent
 Alveolar wall expansionPresentPresentPresentPresentPresentPresent
 Chronic inflammatory cell infiltrationPresentPresentPresentPresentPresentPresent
Intra-alveolar pathology
 Intra-alveolar fibrinPresentPresentAbsentAbsentPresentAbsent
 Intra-alveolar macrophagePresentPresentPresentPresentPresentPresent
 Intra-alveolar fibroblastic plugPresentPresentPresentPresentPresentPresent
Small airway pathology
 Bronchiolar epithelial denudationAbsentPresentPresentPresentPresentAbsent
 Bronchiolar wall thickeningPresentPresentPresentPresentPresentPresent
 Peribronchial fibrosisAbsentPresentPresentPresentPresentPresent
 Peribronchial inflammatory cell infiltrationPresentPresentPresentPresentPresentPresent
 Intraluminal fibroblastic growth (mural fibrosis)PresentPresentAbsentAbsentPresentPresent
 Necrotising injuryAbsentAbsentAbsentAbsentAbsentAbsent
 Peribronchial lymphoid folliclesAbsentAbsentAbsentAbsentAbsentAbsent
Others
 Giant cell or epithelioid histiocytesAbsentAbsentAbsentAbsentAbsentAbsent
 GranulomaAbsentAbsentAbsentAbsentAbsentAbsent