Edahiro Ryuya, Kurebe Hiroyuki, Nakatsubo Saeko, Hosono Yuki, Sawa Nobuhiko, Nishida Kohei, Ohara Yuko, Oshitani Yohei, Kagawa Hiroyuki, Tsujino Kazuyuki, Yoshimura Kenji, Miki Keisuke, Miki Mari, Kitada Seigo, Mori Masahide
Department of Respiratory Medicine, National Hospital Organization Toneyama National Hospital, Japan.
Intern Med. 2019 Feb 15;58(4):545-551. doi: 10.2169/internalmedicine.0929-18. Epub 2018 Oct 17.
Diffuse pulmonary ossification (DPO) is an uncommon diffuse lung disease characterized by metaplastic bone formation in the lung parenchyma and is rarely diagnosed in life. While DPO usually occurs as a secondary disease, idiopathic cases are extremely rare. We describe three cases of idiopathic DPO, two of which were definitively diagnosed by surgical lung biopsy. One case was observed in a 43-year-old man with a history of recurrent pneumothorax who developed pneumothorax after the surgical biopsy. Few reports have described cases of DPO with recurrent pneumothorax; however, pneumothorax should be considered as a potential complication when such patients are encountered.
弥漫性肺骨化(DPO)是一种罕见的弥漫性肺部疾病,其特征是肺实质内发生化生骨形成,生前很少被诊断出来。虽然DPO通常作为继发性疾病出现,但特发性病例极为罕见。我们描述了三例特发性DPO病例,其中两例通过外科肺活检得到明确诊断。一例发生在一名有复发性气胸病史的43岁男性身上,该患者在外科活检后发生了气胸。很少有报告描述DPO合并复发性气胸的病例;然而,遇到此类患者时应将气胸视为一种潜在并发症。