Exogenous chronic lipoid pneumonia: a case report

Auteurs

  • Fausto Braccioni Fisiopatologia Respiratoria, Dipartimento di Scienze Cardio-Toraco-Vascolari e Sanità pubblica, Università degli Studi di Padova
  • Irene Coppolino Pneumologia, Dipartimento di Scienze Biomediche, Odontoiatriche e delle Immagini Morfologiche e Funzionali, Università degli Studi di Messina
  • Stefania Vito Radiologia, Dipartimento di Diagnostica per Immagini e Radiologia Interventistica, Azienda Ospedaliera di Padova.
  • Ferica Pezzuto Patologia Cardiovascolare, Dipartimento di Scienze Cardio-Toraco-Vascolari e Sanità pubblica, Università di Padova
  • Federica Lo Bello Pneumologia, Dipartimento di Scienze Biomediche, Odontoiatriche e delle Immagini Morfologiche e Funzionali, Università degli Studi di Messina
  • Gabriele Foltran Fisiopatologia Respiratoria, Dipartimento di Scienze Cardio-Toraco-Vascolari e Sanità pubblica, Università degli Studi di Padova
  • Saverio Alberti Genetica Clinica, Dipartimento di Scienze Biomediche, Odontoiatriche e delle Immagini Morfologiche e Funzionali, Università degli Studi di Messina
  • Andrea Vianello Fisiopatologia Respiratoria, Dipartimento di Scienze Cardio-Toraco-Vascolari e Sanità pubblica, Università degli Studi di Padova
  • Gaetano Caramori Pneumologia, Dipartimento di Scienze Biomediche, Odontoiatriche e delle Immagini Morfologiche e Funzionali, Università degli Studi di Messina

DOI :

https://doi.org/10.6092/1828-6550/APMB.108.2.2020.CCS1

Mots-clés :

lipoid pneumonia, lung disease, oils, lipid

Résumé

We present the case of a 75-year-old manwho suffered from a post-stroke dysphagia and a long term history of exposure to paraffin oilforchronicconstipation. At the chest computed tomography scan two pulmonary masses were detected, in the lower left lobe and in the middle lobe, respectively. Diffuse and bilateral ground-glass nodules were also described. A transbronchial biopsy and a bronchoalveolar lavage were performed. The histopathological examination showed the accumulation of lipoid material and macrophages with foamy and vacuolated cytoplasm surrounded by inflammatory cell infiltration and a mild fibrosis. The diagnosis of a exogenous chronic lipoid pneumonia was formulated. Reporting this case, we would like to alert the clinicians to be aware of this entity that can mimic other pathological conditions.

Références

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Publiée

2020-12-22

Numéro

Vol. 108 No 2 (2020)

Rubrique

CLINICAL CASE SEMINAR

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