Cornacchia D J, Snyder C H, Dupont D C, Yaron N S
J Am Osteopath Assoc. 1989 May;89(5):659-63.
Although a rare form of nonresolving pulmonary infiltrate, exogenous lipoid pneumonia is a great mimicker. It often is mistaken for bacterial pneumonia or cancer. Many cases have been diagnosed only by open lung biopsy or other invasive procedures. Depending on the type of lipid ingested and the degree of inflammation that occurs, damage to the lung can be little to none or can fulminate to necrosis and hemorrhage. Symptoms may range from none to respiratory failure. In the case presented, the patient was ingesting Vaseline Intensive Care Lotion and baby oil as laxatives. This information was elicited only after diagnosis was made by open lung biopsy.
尽管外源性类脂性肺炎是一种罕见的不消散性肺部浸润形式，但它很容易造成误诊。它常常被误诊为细菌性肺炎或癌症。许多病例仅通过开胸肺活检或其他侵入性检查才能确诊。根据摄入脂质的类型和发生的炎症程度，肺部损伤可能很小或没有，也可能迅速发展为坏死和出血。症状可能从没有到呼吸衰竭不等。在本病例中，患者将凡士林深层润肤露和婴儿油作为泻药服用。此信息仅在开胸肺活检确诊后才得知。
