Doubková M, Doubek M, Moulis M, Skřičková J
Department of Pneumology and Phthiseology, Faculty of Medicine and University Hospital, Brno, Czech Republic.
Rev Port Pneumol. 2013 Sep-Oct;19(5):233-6. doi: 10.1016/j.rppneu.2013.05.002. Epub 2013 Jul 4.
Exogenous lipoid pneumonia (ELP) is an uncommon condition resulting from aspirating or inhaling fatlike material. These substances elicit a foreign body reaction and proliferative fibrosis in the lung.
We report a case of a 38-year-old woman with bilateral pulmonary infiltration. There were no clinical symptoms of this infiltration at diagnosis. The infiltration was found coincidentally during the pre-operation examination before surgery. A chest computed tomography scan revealed bilateral lung consolidation, particularly in the S6 area on the right side. The transthoracic lung biopsy led to suspicion of ELP. Precise anamnesis confirms the diagnosis of ELP caused by chronic improper use of baby body oil. Two years after discontinuing "baby body oil therapy", a chest CT scan revealed partial regression of pulmonary infiltration.
The diagnosis of exogenous lipoid pneumonia is often difficult as symptoms, signs, and radiographic findings are all rather non-specific. We would like to emphasize the role of precise case history in better identification of ELP.
外源性类脂性肺炎（ELP）是一种因吸入脂肪样物质而导致的罕见病症。这些物质会在肺部引发异物反应和增殖性纤维化。
我们报告一例38岁双侧肺部浸润的女性病例。诊断时该浸润无临床症状。此浸润是在术前检查时偶然发现的。胸部计算机断层扫描显示双侧肺部实变，尤其是右侧S6区域。经胸肺活检引发了对外源性类脂性肺炎的怀疑。详细的既往史证实了因长期不当使用婴儿润肤油导致的外源性类脂性肺炎的诊断。停用“婴儿润肤油疗法”两年后，胸部CT扫描显示肺部浸润部分消退。
外源性类脂性肺炎的诊断通常很困难，因为症状、体征和影像学表现都相当不具特异性。我们想强调详细病例史在更好地识别外源性类脂性肺炎中的作用。
