Department of Respiratory Medicine and Infectious Diseases, Niigata University Graduate School of Medical and Dental Sciences, Japan.
Department of Respiratory Medicine, Saiseikai Niigata Hospital, Japan.
Intern Med. 2022 Dec 15;61(24):3713-3717. doi: 10.2169/internalmedicine.9008-21. Epub 2022 May 21.
We herein report a 45-year-old-man with multiple foreign body granulomas in the lungs caused by polytetrafluoroethylene (PTFE). A mass in the right lower lobe of the lung and bilateral centrilobular lung nodules were found unexpectedly during the patient's visit to a hospital for a respiratory infection. The patient's occupation for 26 years involved spraying PTFE. A lung biopsy using bronchoscopy revealed granulomatous lesions and giant cells. The presence of fluorine in the granulomatous lesions was confirmed using an electron probe microanalyzer with wavelength dispersive spectrometer. Fluorine is a component of PTFE and is not found in normal lung tissue.
我们在此报告一例 45 岁男性,因聚四氟乙烯(PTFE)引起肺部多发异物性肉芽肿。患者因呼吸道感染就诊时意外发现右下肺肿块和双侧小叶中心性肺结节。患者 26 年的职业涉及喷涂 PTFE。经支气管镜肺活检显示肉芽肿性病变和多核巨细胞。电子探针微分析仪结合波谱仪证实了肉芽肿病变中氟的存在。氟是 PTFE 的成分,在正常肺组织中不存在。