Radiation pneumonitis successfully treated with inhaled corticosteroids

Xerostomia, resulting from radiation injury of the salivary gland, is common with irradiation of the head and neck, especially with concurrent chemotherapy. Xerostomia is treated conservatively with saliva substitutes (., water or glycerin-based) and saliva stimulants (., sour sweets, chewing gum). Pilocarpine is more effective than artificial saliva, although its effectiveness may not be seen until 12 weeks of therapy. 23 Mucositis from radiation damage of the oral epithelium responds to topical anesthetics. Oral candidiasis is treated with topical anti-fungal washes or systemic antifungal agents. Amifostine (Ethyol), a free-radical scavenger radioprotectant, is beneficial in preventing and treating xerostomia, but there is insufficient evidence to support its use for radiation-induced mucositis and esophagitis. 24

Diagnosis Index entries containing back-references to :

  • Aspiration
    • bronchitis
    • pneumonia
    • pneumonitis
  • Deglutition
    • pneumonia
  • Injury - see also specified injury type ICD-10-CM Diagnosis Code Injury, unspecified
      2016 2017 2018 - Deleted Code 2018 - New Code Non-Billable/Non-Specific Code
    Applicable To
    • Injury NOS
    • intrathoracic ICD-10-CM Diagnosis Code Injury of unspecified intrathoracic organ
        2016 2017 2018 Non-Billable/Non-Specific Code
      • lung ICD-10-CM Diagnosis Code Unspecified injury of lung, unspecified
          2016 2017 2018 Non-Billable/Non-Specific Code
        • aspiration
    • lung - see also Injury, intrathoracic, lung
      • aspiration
  • Pneumonia (acute) (double) (migratory) (purulent) (septic) (unresolved) ICD-10-CM Diagnosis Code Pneumonia, unspecified organism
      2016 2017 2018 Billable/Specific Code
    • aspiration
      • due to
        • food (regurgitated)
        • gastric secretions
        • milk (regurgitated)
        • vomitus
  • Pneumonitis (acute) (primary) - see also Pneumonia
    • aspiration
    • due to
      • inhalation
        • food (regurgitated)
        • saliva
      • food, vomit (aspiration)

Radiation pneumonitis successfully treated with inhaled corticosteroids

radiation pneumonitis successfully treated with inhaled corticosteroids

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