Haloui Oumayma, El Allam Fatima, Nabou Ouiame, Thouil Afaf, Kouismi Hatim
Department of Respiratory Diseases, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Mohammed First University, Oujda, MAR.
Department of Respiratory Diseases, Mohammed VI University Hospital, Oujda, MAR.
Cureus. 2022 Sep 15;14(9):e29211. doi: 10.7759/cureus.29211. eCollection 2022 Sep.
Pleuroparenchymal fibroelastosis (PPFE) is a rare, idiopathic interstitial pneumonia. wherein the first symptom might be dyspnea or a dry cough. The condition can also be manifested with chest pain secondary to pneumothorax. While the definitive diagnosis is based on a histological evaluation (which is not often performed), a computed tomography scan shows findings, such as apical fibrosis and pleural thickening of the apical lobes, which help assess the diagnosis. We describe a case of PPFE diagnosed radiologically in a 69-year-old man. This case highlights that PPFE is a pathology that can go unnoticed for a long time, and patients might neglect the revealing symptoms such as coughing.
胸膜实质纤维弹性组织增生症(PPFE)是一种罕见的特发性间质性肺炎。其首发症状可能是呼吸困难或干咳。该病症也可能表现为气胸继发的胸痛。虽然确诊基于组织学评估(这种评估并不常用),但计算机断层扫描显示出一些特征,如肺尖纤维化和肺尖叶胸膜增厚,这些有助于评估诊断。我们描述了一例69岁男性经放射学诊断为PPFE的病例。该病例突出表明,PPFE是一种可能长期未被察觉的病症,患者可能会忽视诸如咳嗽等提示性症状。