[Exogenous lipoid pneumonia and anorexia nervosa: a case report].

IF 1 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Anales Del Sistema Sanitario De Navarra Pub Date : 2022-08-16 DOI:10.23938/ASSN.1007
J Rodríguez Sanz, A Arellano Alvarez, L Ferrando Lamana, T Martín Carpi
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Abstract

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.

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外源性类脂性肺炎合并神经性厌食症1例。
外源性脂质性肺炎是一种罕见的非特异性临床表现。早期诊断是预防慢性外源性脂质性肺炎肺纤维化的关键。在此,我们报告一位51岁女性慢性咳嗽和痰黄,无发热和感染征象的诊断过程。计算机轴位断层扫描显示双肺肺泡浸润。我们进行了支气管肺泡灌洗,并收集了一种淡黄色的物质,但从其分析中没有得到明确的结果。肺组织冷冻活检是诊断外源性脂质性肺炎的关键。这可能与患者所患的慢性神经性厌食症有关,与泻性习惯有关。在确定症状的原因后,患者正在恢复,改变了她的习惯,没有咳嗽和痰。
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来源期刊
Anales Del Sistema Sanitario De Navarra
Anales Del Sistema Sanitario De Navarra 医学-公共卫生、环境卫生与职业卫生
CiteScore
1.30
自引率
30.00%
发文量
88
审稿时长
>12 weeks
期刊介绍: La revista Anales del Sistema Sanitario de Navarra es una revista de contenido médico sanitario de carácter generalista. En ella tienen cabida artículos referidos a temas de salud/enfermedad en general, salud pública, administración y gestión sanitaria y Atención Primaria de salud.
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