Rodríguez Sanz J, Arellano Alvarez A, Ferrando Lamana L, Martín Carpi T
Servicio de Neumología. Hospital Universitario Miguel Servet. Zaragoza. España..
Servicio de Anatomía Patológica. Hospital Universitario Miguel Servet. Zaragoza. España..
An Sist Sanit Navar. 2022 Aug 16;45(2):e1007. doi: 10.23938/ASSN.1007.
Exogenous lipoid pneumonia is a rare entity with non-specific clinical presentation. Early diagnosis is key to prevent pulmonary fibrosis in cases of chronic exogenous lipoid pneumonia . Here, we present the diagnostic process in a 51-year-old female with chronic cough and yellow sputum, no fever nor signs of infection. The computerized axial tomography scan showed alveolar infiltrates in both lungs. We performed a bronchoalveolar lavage and collected a yellowish material, but no clear result were obtained from its analysis. Cryobiopsy of lung tissue was key for the diagnosis of exogenous lipoid pneumonia . This may be related to the chronic anorexia nervosa that the patient suffers, associated with purgative habits. After identifying the cause of the symptoms, the patient is recovering, changing her habits, and has no cough nor sputum.
外源性类脂性肺炎是一种临床表现不特异的罕见疾病。早期诊断是预防慢性外源性类脂性肺炎病例发生肺纤维化的关键。在此,我们展示了一名51岁女性的诊断过程,该患者有慢性咳嗽和黄色痰液,无发热及感染迹象。计算机断层扫描显示双肺肺泡浸润。我们进行了支气管肺泡灌洗并收集到一种淡黄色物质,但对其分析未得到明确结果。肺组织冷冻活检是诊断外源性类脂性肺炎的关键。这可能与患者所患的慢性神经性厌食症及泻药使用习惯有关。明确症状原因后,患者正在康复,改变了习惯,不再咳嗽和咳痰。