Not Your Typical Pneumonia: A Case of Exogenous Lipoid Pneumonia
Open Access
- 11 September 2007
- journal article
- case report
- Published by Springer Science and Business Media LLC in Journal of General Internal Medicine
- Vol. 22 (11), 1613-1616
- https://doi.org/10.1007/s11606-007-0280-7
Abstract
The constellation of chronic cough, dyspnea, and hemoptysis can include a broad range of differential diagnoses. Although uncommon, exogenous lipoid pneumonia (ELP) should be considered when patients present with this symptom complex. We report a case of a 72-year-old female who presented with hemoptysis, cough, and dyspnea. The admission computed tomography scan of the chest revealed progressive interstitial infiltrates. Bronchoscopy revealed diffuse erythema without bleeding. Culture and cytology of lavage fluid were negative. Open-lung biopsy revealed numerous lipid-laden macrophages and multinucleated foreign-body giant cells. On further questioning, the patient admitted to the daily use of mineral oil for constipation. The diagnosis of ELP was made. The literature review revealed that many cases typically present with chronic cough with or without dyspnea. Our case illustrates an unusual presenting symptom of hemoptysis and the need to identify patients who can be at risk of developing this rare condition.Keywords
This publication has 19 references indexed in Scilit:
- Linfangioleiomiomatose: A propósito de um caso clínicoRevista Portuguesa de Pneumologia, 2005
- Lipoid Pneumonia Due to Mexican Folk RemediesArchives of Pediatrics & Adolescent Medicine, 2005
- Exogenous Lipoid Pneumonia: Serial Chest Plain Roentgenography and High-Resolution Computerized Tomography FindingsThe Kaohsiung Journal of Medical Sciences, 2003
- Exogenous lipoid pneumonia caused by facial application of petrolatumJournal of the American Academy of Dermatology, 2003
- Exogenous lipoid pneumonia: HRCT, MR, and pathologic findingsEuropean Radiology, 1999
- A woman who took cod-liver oil and smokedThe Lancet, 1996
- Exogenous lipid pneumonia: a retrospective multicentre study of 44 cases in FranceEuropean Respiratory Journal, 1996
- Self-injection With Olive OilChest, 1995
- Lipoid PneumoniaJournal of Computer Assisted Tomography, 1995
- Exogenous Lipoid Pneumonia Due to Nasal Application of Petroleum JellyChest, 1994