| Journal: | Jornal brasileiro de pneumologia |
| Database: | PERIÓDICA |
| System number: | 000297656 |
| ISSN: | 1806-3713 |
| Authors: | Albuquerque-Filho, Alfredo Pereira Leite de1 |
| Institutions: | 1Hospital Barao de Lucena, Servico de Clinica Medica, Recife, Pernambuco. Brasil |
| Year: | 2006 |
| Season: | Nov-Dic |
| Volumen: | 32 |
| Number: | 6 |
| Pages: | 596-598 |
| Country: | Brasil |
| Language: | Portugués |
| Document type: | Artículo |
| Approach: | Caso clínico, descriptivo |
| English abstract | Lipoid pneumonia is a rare disease resulting from the micro-aspiration of lipid formulations. Making a diagnosis of lipoid pneumonia requires a high degree of clinical suspicion. Herein, we report the case of a female patient with a history of breast cancer, presenting progressive dyspnea and cough, together with radiological findings of bilateral pulmonary infiltrate. The working diagnosis of lymphangitic carcinomatosis, for which chemotherapy would be indicated, was called into question based on the high-resolution computed tomography findings and on the fact that the patient had a history of chronic ingestion of laxatives containing mineral oil. A lung biopsy confirmed a diagnosis of lipoid pneumonia, which should always be considered in patients with diffuse lung disease having been exposed to potential causative agents |
| Portuguese abstract | A pneumonia lipóide é uma doença rara, resultante da microaspiração de formulações lipídicas. Para seu diagnóstico, o grau de suspeição clínica deve ser elevado. Relata-se o caso de uma mulher com passado de câncer de mama, apresentando dispnéia e tosse progressivas e infiltrado pulmonar bilateral na radiografia. A suspeita de linfangite carcinomatosa com indicação de quimioterapia foi questionada por achados não usuais na tomografia computadorizada de alta resolução e história de ingestão crônica de laxantes contendo óleo mineral. A biópsia pulmonar confirmou pneumonia lipóide, que deve ser considerada em pacientes com pneumopatia difusa e exposição a potenciais agentes causadores |
| Disciplines: | Medicina |
| Keyword: | Cirugía, Diagnóstico, Neumología, Neumonía lipoidea, Tomografía computarizada, Aceite mineral |
| Keyword: | Medicine, Diagnosis, Pneumology, Surgery, Lipoid pneumonia, Computerized tomography, Mineral oils |
| Full text: | Texto completo (Ver HTML) |
