Spontaneous pneumothorax associated with exogenous lipoid pneumonia: A preventable health hazard

Ashok K. Malani , Ahamed V.P. Kutty , Ram Ramani , Emilie Morphew
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Abstract

Excessive usage of creams and other oil-based material to face, scalp and hair may be a source for causing exogenous lipoid pneumonia (EPL), and potentially hazardous health consequences to patients. Since it is often unrecognized, awareness of this condition by clinicians, timely advise to patients with corrective measures, simple withdrawal and cessation of excessive application of these agents by patients, may result in amelioration of their symptoms and prevent potentially serious complications. To emphasize on this important and preventable health hazard, we report a case of EPL associated with spontaneous pneumothorax, rarely mentioned in the literature, that was caused by application of Vaseline to scalp, hair and face and coco-butter to face and withdrawal of these agents led to resolution of the condition. To our knowledge, this probably is the first reported case of pneumothorax associated with EPL.

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与外源性脂质肺炎相关的自发性气胸:一种可预防的健康危害
在面部、头皮和头发上过度使用面霜和其他油基材料可能是引起外源性脂质肺炎(EPL)的一个来源,并可能对患者造成有害的健康后果。由于通常未被认识到,临床医生对这种情况的认识,及时建议患者采取纠正措施,简单的停药和停止患者过度使用这些药物,可能会改善其症状并防止潜在的严重并发症。为了强调这一重要且可预防的健康危害,我们报告了一例EPL与自发性气胸相关的病例,文献中很少提及,这是由于凡士林涂抹在头皮、头发和面部,可可脂涂抹在面部,并停止使用这些药物导致病情消退。据我们所知,这可能是第一例与EPL相关的气胸。
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