array:24 [
  "pii" => "S0873215913000561"
  "issn" => "08732159"
  "doi" => "10.1016/j.rppneu.2013.05.002"
  "estado" => "S300"
  "fechaPublicacion" => "2013-09-01"
  "aid" => "158"
  "copyright" => "Sociedade Portuguesa de Pneumologia"
  "copyrightAnyo" => "2012"
  "documento" => "article"
  "crossmark" => 0
  "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
  "subdocumento" => "sco"
  "cita" => "Rev Port Pneumol. 2013;19:233-6"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 32586
    "formatos" => array:3 [
      "EPUB" => 315
      "HTML" => 30511
      "PDF" => 1760
    ]
  ]
  "itemSiguiente" => array:20 [
    "pii" => "S0873215913000792"
    "issn" => "08732159"
    "doi" => "10.1016/j.rppneu.2013.06.004"
    "estado" => "S300"
    "fechaPublicacion" => "2013-09-01"
    "aid" => "164"
    "copyright" => "Sociedade Portuguesa de Pneumologia"
    "documento" => "simple-article"
    "crossmark" => 0
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "cor"
    "cita" => "Rev Port Pneumol. 2013;19:237-8"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 20796
      "formatos" => array:3 [
        "EPUB" => 253
        "HTML" => 18724
        "PDF" => 1819
      ]
    ]
    "pt" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Carta ao Editor</span>"
      "titulo" => "Abordagem diagn&#243;stica na tuberculose ganglionar"
      "tienePdf" => "pt"
      "tieneTextoCompleto" => "pt"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "237"
          "paginaFinal" => "238"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Diagnostic approaches in tuberculous lymphadenitis"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "pt" => true
      ]
      "contienePdf" => array:1 [
        "pt" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Figura 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 800
              "Ancho" => 3000
              "Tamanyo" => 209630
            ]
          ]
          "descripcion" => array:1 [
            "pt" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Abordagens diagn&#243;sticas e resultados obtidos em todos os doentes com TB ganglionar inclu&#237;dos no estudo &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>60&#41; &#40;esquerda&#41; e diagrama incluindo apenas os doentes nos quais foram realizadas todas as an&#225;lises &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>13&#41; &#40;direita&#41;&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "F&#46; Soares Pires, M&#46; van Zeller, R&#46; Reis, A&#46; Carvalho, R&#46; Duarte"
          "autores" => array:5 [
            0 => array:2 [
              "nombre" => "F&#46;"
              "apellidos" => "Soares Pires"
            ]
            1 => array:2 [
              "nombre" => "M&#46;"
              "apellidos" => "van Zeller"
            ]
            2 => array:2 [
              "nombre" => "R&#46;"
              "apellidos" => "Reis"
            ]
            3 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Carvalho"
            ]
            4 => array:2 [
              "nombre" => "R&#46;"
              "apellidos" => "Duarte"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "pt"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "S2173511513000675"
        "doi" => "10.1016/j.rppnen.2013.09.004"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "en"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173511513000675?idApp=UINPBA00004E"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215913000792?idApp=UINPBA00004E"
    "url" => "/08732159/0000001900000005/v3_201509041357/S0873215913000792/v3_201509041357/pt/main.assets"
  ]
  "itemAnterior" => array:20 [
    "pii" => "S087321591300055X"
    "issn" => "08732159"
    "doi" => "10.1016/j.rppneu.2013.05.001"
    "estado" => "S300"
    "fechaPublicacion" => "2013-09-01"
    "aid" => "157"
    "copyright" => "Sociedade Portuguesa de Pneumologia"
    "documento" => "article"
    "crossmark" => 0
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "sco"
    "cita" => "Rev Port Pneumol. 2013;19:228-32"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 9240
      "formatos" => array:3 [
        "EPUB" => 280
        "HTML" => 7504
        "PDF" => 1456
      ]
    ]
    "pt" => array:13 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Caso cl&#237;nico</span>"
      "titulo" => "Osteonecrose da mand&#237;bula associada aos bifosfonatos em doentes com cancro do pulm&#227;o"
      "tienePdf" => "pt"
      "tieneTextoCompleto" => "pt"
      "tieneResumen" => array:2 [
        0 => "pt"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "228"
          "paginaFinal" => "232"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Bisphosphonate-associated osteonecrosis of the jaws in lung cancer patients"
        ]
      ]
      "contieneResumen" => array:2 [
        "pt" => true
        "en" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "pt" => true
      ]
      "contienePdf" => array:1 [
        "pt" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Figura 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 2382
              "Ancho" => 1583
              "Tamanyo" => 254809
            ]
          ]
          "descripcion" => array:1 [
            "pt" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">A&#46; TC da face&#58; marcada modifica&#231;&#227;o da trabecula&#231;&#227;o &#243;ssea do corpo da mand&#237;bula direita&#44; com cerca de 3&#44;5<span class="elsevierStyleHsp" style=""></span>cm de comprimento&#46; B&#46; Ortopantomografia mostrando altera&#231;&#245;es na mand&#237;bula direita&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "In&#234;s Neves, Ant&#243;nio Morais, Adriana Magalh&#227;es"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "In&#234;s"
              "apellidos" => "Neves"
            ]
            1 => array:2 [
              "nombre" => "Ant&#243;nio"
              "apellidos" => "Morais"
            ]
            2 => array:2 [
              "nombre" => "Adriana"
              "apellidos" => "Magalh&#227;es"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "pt"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "S2173511513000663"
        "doi" => "10.1016/j.rppnen.2013.09.003"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "en"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173511513000663?idApp=UINPBA00004E"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S087321591300055X?idApp=UINPBA00004E"
    "url" => "/08732159/0000001900000005/v3_201509041357/S087321591300055X/v3_201509041357/pt/main.assets"
  ]
  "en" => array:19 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Case report</span>"
    "titulo" => "Exogenous lipoid pneumonia caused by chronic improper use of baby body oil in adult patient"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "233"
        "paginaFinal" => "236"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "M&#46; Doubkov&#225;, M&#46; Doubek, M&#46; Moulis, J&#46; Sk¿i&#319;kov&#225;"
        "autores" => array:4 [
          0 => array:4 [
            "nombre" => "M&#46;"
            "apellidos" => "Doubkov&#225;"
            "email" => array:1 [
              0 => "doubkovamartina&#64;seznam&#46;cz"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#12287;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "M&#46;"
            "apellidos" => "Doubek"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "M&#46;"
            "apellidos" => "Moulis"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "aff0015"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "J&#46;"
            "apellidos" => "Sk¿i&#319;kov&#225;"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:3 [
          0 => array:3 [
            "entidad" => "Department of Pneumology and Phthiseology&#44; Faculty of Medicine and University Hospital&#44; Brno&#44; Czech Republic"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Central European Institute of Technology&#44; Masaryk University&#44; Brno&#44; Czech Republic"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
          2 => array:3 [
            "entidad" => "Department of Pathology&#44; Faculty of Medicine and University Hospital&#44; Brno&#44; Czech Republic"
            "etiqueta" => "c"
            "identificador" => "aff0015"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#12287;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "pt" => array:1 [
        "titulo" => "Pneumonia lipoide ex&#243;gena provocada pela utiliza&#231;&#227;o cr&#243;nica indevida de &#243;leo corporal para beb&#233;s num paciente adulto"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:7 [
        "identificador" => "fig0010"
        "etiqueta" => "Figure 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 900
            "Ancho" => 2333
            "Tamanyo" => 275143
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Chest high-resolution computed tomography &#40;HRCT&#41; at diagnosis &#40;A&#41; and two years after diagnosis &#40;B&#41;&#46; Bilateral lung infiltration in the lower lobes&#44; particularly on the right side in the area of segment S6&#44; with the following dimensions&#58; 85<span class="elsevierStyleHsp" style=""></span>mm<span class="elsevierStyleHsp" style=""></span>&#255;<span class="elsevierStyleHsp" style=""></span>38<span class="elsevierStyleHsp" style=""></span>mm<span class="elsevierStyleHsp" style=""></span>&#255;<span class="elsevierStyleHsp" style=""></span>70<span class="elsevierStyleHsp" style=""></span>mm&#46; The surrounding tissue shows ground-glass opacities&#44; thickened interlobular septa&#44; and a craving paving picture with air bronchogram &#40;A&#41;&#46; Partial regression of pulmonary infiltration after discontinuation of &#12287;baby body oil therapy&#12287; &#40;B&#41;&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0055">Introduction</span><p id="par0005" class="elsevierStylePara elsevierViewall">Lipoid pneumonia can be classified as endogenous&#44; idiopathic&#44; or exogenous&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> Endogenous lipoid pneumonia is the least frequent and is generally observed in patients with chronic bronchial obstruction of the airways by tumors&#44; bronchiolitis obliterans&#44; and lipid storage diseases such as Gaucher&#39;s disease and Niemann&#12287;Pick disease&#46; Idiopathic lipoid pneumonia is a rare disorder and has been associated with smoking in healthy individuals&#46; Exogenous lipoid pneumonia &#40;ELP&#41; is an uncommon condition resulting from aspirating or inhaling fat-like material&#46;<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;2</span></a> These substances elicit a foreign body reaction and proliferative fibrosis in the lung&#46; Symptoms can vary significantly among individuals&#44; ranging from asymptomatic to severe&#44; life-threatening disease&#46; The radiological findings have variable patterns and distribution&#46; For this reason&#44; lipoid pneumonia may mimic many other diseases&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> The diagnosis of ELP is based on a history of exposure to oil&#44; characteristic radiological findings&#44; and the presence of lipid-laden macrophages in sputum or BAL analysis&#46; There are currently no studies in literature that define the best therapeutic option&#59; however&#44; there is a consensus that the key measure is identifying and discontinuing exposure to the offending agent&#46;<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;2</span></a></p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0060">Case report</span><p id="par0010" class="elsevierStylePara elsevierViewall">A 38-year-old woman was referred to our department for bilateral pulmonary infiltration&#46; The infiltration was found coincidentally during the pre-operation examination before leg varices surgery&#46; Nothing was bothering the patient&#46; She was a non-smoker and did not take any regular medication&#46; The pulmonary function test proved a mild impairment of diffusing capacity &#40;61&#37; diffusing capacity for carbon monoxide &#12287; DL<span class="elsevierStyleInf">CO</span>&#41;&#46; Nevertheless&#44; her chest X-ray disclosed extensive infiltration in both lungs &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>A&#41;&#46; A chest computed tomography &#40;CT&#41; scan revealed bilateral lung consolidation&#44; particularly in the S6 area on the right side &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>A&#41;&#46; In differential diagnosis according to findings of high-resolution CT &#40;HRCT&#41; of thorax&#44; we considered pulmonary alveolar proteinosis&#44; alveolar hemorrhage&#44; or bronchioloalveolar carcinoma&#46; However&#44; the clear right predominance of lesions gave primary support to the aspiration etiology of lesions&#46; Laboratory blood findings &#40;hematology&#44; biochemistry&#44; antibody&#44; tumor markers&#41; were normal&#46; By auscultation&#44; we found sporadic crackles over the right lung&#46; The bronchoalveolar fluid had a greasy appearance&#46; Lymphocytic alveolitis was also found &#40;lymphocytes 21&#37;&#41;&#46; The transthoracic lung biopsy revealed vacuolated macrophages&#44; giant cells&#44; optically empty spots&#44; a foreign body reaction with granulomatous process&#46; All vacuolated macrophages contained lipids &#40;lipophages&#41; and represented 35&#37; of all cells in the biopsy&#46; This finding raised the suspicion of oil substance aspiration &#12287; ELP &#40;<a class="elsevierStyleCrossRef" href="#fig0015">Fig&#46; 3</a>&#41;&#46; Subsequently&#44; the patient confessed to daily nasal application of baby body oil drops &#40;with azulene and medicinal liquid paraffin&#41; over a period of five years to treat the dryness of her nasal mucosa&#46; The otorhinolaryngologic examination was normal&#46; The patient refused glucocorticoid therapy&#46; Regular controls of the pulmonary function test&#44; chest X-ray &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>B&#41; and HRCT of thorax were performed in the patient&#46; Two years after discontinuing &#12287;baby body oil therapy&#12287;&#44; a chest CT scan revealed partial improvement &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>B&#41;&#46; We proposed additional corticosteroid therapy due to persisting lesions on CT&#46; However&#44; this therapy was refused by the patient&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">Discussion</span><p id="par0015" class="elsevierStylePara elsevierViewall">ELP is a rare disease resulting from the micro-aspiration of lipid formulations&#46; These substances elicit a foreign body reaction and proliferative fibrosis in the lung&#46; Acute&#44; sometimes fatal&#44; cases can occur&#44; but the disease is usually indolent&#46; The diagnosis of ELP is often difficult as symptoms&#44; signs&#44; and radiographic findings can be non-specific&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> On HRCT&#44; alveolar filling causes a ground-glass pattern of a crazy paving appearance&#44; which stays at some distance from the pleura and exhibits low attenuation numbers&#46; On the other hand&#44; in unenhanced HRCT&#44; pulmonary vessels may spontaneously be visible within the areas of parenchymal filling&#44; a sign known as the &#12287;spontaneous angiogram&#12287;&#46;<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">3&#12287;5</span></a> The most characteristic computed tomography of finding of ELP is the presence of low-density space consolidation &#40;&#12287;30 to &#12287;150 Hounsfield units&#41; in the lungs&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> As illustrated by our case&#44; there should be a clear right predominance of lesions supporting an aspiration etiology of pneumonia&#46; A lung biopsy is not always indicated for diagnosis&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> Diagnosis of ELP is suggested at history taking&#44; and is confirmed by the examination of sputum or BAL&#44; which show lipid laden cells and free-floating oil&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Our case was caused by improper use of baby body oil containing paraffin&#46; So far&#44; paraffin has been described as a cause of ELP in fire-eaters&#44;<a class="elsevierStyleCrossRefs" href="#bib0035"><span class="elsevierStyleSup">7&#12287;9</span></a> and in children&#46;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">10</span></a> In differential diagnosis of ELP in adults&#44; mainly lipoid pneumonia caused by amiodarone must be taken into consideration&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">11</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">Treatment of LP is not well-studied&#46; Treatment in patients without clinical symptoms remains controversial&#44; but in patients with diffuse pulmonary damage&#44; therapies have been reported&#46; Avoiding ongoing exposure and providing supportive care is the mainstay of treatment&#46; Not every patient with exogenous lipoid pneumonia will improve after the withdrawal of lipid-containing material or corticosteroid therapy&#46; Gondouin et al&#46;&#44; in a retrospective multicenter study&#44; found that corticosteroid therapy had not been very effective for every cases of lipoid pneumonia&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> The use of systemic corticosteroids in patients without clinical symptoms remains controversial&#59; however&#44; whole lung lavages&#44; and systemic corticosteroids have been used in patients with diffuse pulmonary damage&#46;<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;12</span></a> In our case&#44; however&#44; corticosteroid therapy has been refused by the patient&#46; Complications of this disease include recurrent bronchopneumonia&#44; superinfection&#44; pulmonary fibrosis&#44; and lung cancer&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a></p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">Conclusion</span><p id="par0030" class="elsevierStylePara elsevierViewall">The diagnosis of ELP is often difficult as symptoms&#44; signs&#44; and radiographic findings can be non-specific&#46; Chronic improper use of miscellaneous oil substances can cause this very rare disorder and we would like to emphasize the role of precise case history in better identification of interstitial lung disorders&#46; Correct HRCT description avoids the misdiagnosis of ELP&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Ethical disclosures</span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Protection of human and animal subjects</span><p id="par0035" class="elsevierStylePara elsevierViewall">The authors declare that no experiments were performed on humans or animals for this study&#46;</p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Confidentiality of data</span><p id="par0040" class="elsevierStylePara elsevierViewall">The authors declare that they have followed the protocols of their work center on the publication of patient data and that all the patients included in the study received sufficient information and gave their written informed consent to participate in the study&#46;</p></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Right to privacy and informed consent</span><p id="par0045" class="elsevierStylePara elsevierViewall">The authors have obtained the written informed consent of the patients or subjects mentioned in the article&#46; The corresponding author is in possession of this document&#46;</p></span></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Conflicts of interest</span><p id="par0050" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:11 [
        0 => array:3 [
          "identificador" => "xres547672"
          "titulo" => "Abstract"
          "secciones" => array:3 [
            0 => array:2 [
              "identificador" => "abst0005"
              "titulo" => "Introduction"
            ]
            1 => array:2 [
              "identificador" => "abst0010"
              "titulo" => "Case report"
            ]
            2 => array:2 [
              "identificador" => "abst0015"
              "titulo" => "Conclusion"
            ]
          ]
        ]
        1 => array:2 [
          "identificador" => "xpalclavsec565553"
          "titulo" => "Keywords"
        ]
        2 => array:3 [
          "identificador" => "xres547673"
          "titulo" => "Resumo"
          "secciones" => array:3 [
            0 => array:2 [
              "identificador" => "abst0020"
              "titulo" => "Introdu&#231;&#227;o"
            ]
            1 => array:2 [
              "identificador" => "abst0025"
              "titulo" => "Caso cl&#237;nico"
            ]
            2 => array:2 [
              "identificador" => "abst0030"
              "titulo" => "Conclus&#245;es"
            ]
          ]
        ]
        3 => array:2 [
          "identificador" => "xpalclavsec565552"
          "titulo" => "Palavras-chave"
        ]
        4 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Introduction"
        ]
        5 => array:2 [
          "identificador" => "sec0010"
          "titulo" => "Case report"
        ]
        6 => array:2 [
          "identificador" => "sec0015"
          "titulo" => "Discussion"
        ]
        7 => array:2 [
          "identificador" => "sec0020"
          "titulo" => "Conclusion"
        ]
        8 => array:3 [
          "identificador" => "sec0025"
          "titulo" => "Ethical disclosures"
          "secciones" => array:3 [
            0 => array:2 [
              "identificador" => "sec0030"
              "titulo" => "Protection of human and animal subjects"
            ]
            1 => array:2 [
              "identificador" => "sec0035"
              "titulo" => "Confidentiality of data"
            ]
            2 => array:2 [
              "identificador" => "sec0040"
              "titulo" => "Right to privacy and informed consent"
            ]
          ]
        ]
        9 => array:2 [
          "identificador" => "sec0045"
          "titulo" => "Conflicts of interest"
        ]
        10 => array:1 [
          "titulo" => "References"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2012-12-03"
    "fechaAceptado" => "2013-05-11"
    "PalabrasClave" => array:2 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec565553"
          "palabras" => array:3 [
            0 => "Aspiration"
            1 => "Exogenous lipoid pneumonia"
            2 => "Baby body oil"
          ]
        ]
      ]
      "pt" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palavras-chave"
          "identificador" => "xpalclavsec565552"
          "palabras" => array:3 [
            0 => "Aspira&#231;&#227;o"
            1 => "Pneumonia lipoide ex&#243;gena"
            2 => "&#255;leo corporal para beb&#233;s"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "en" => array:3 [
        "titulo" => "Abstract"
        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Introduction</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Exogenous lipoid pneumonia &#40;ELP&#41; is an uncommon condition resulting from aspirating or inhaling fatlike material&#46; These substances elicit a foreign body reaction and proliferative fibrosis in the lung&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Case report</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">We report a case of a 38-year-old woman with bilateral pulmonary infiltration&#46; There were no clinical symptoms of this infiltration at diagnosis&#46; The infiltration was found coincidentally during the pre-operation examination before surgery&#46; A chest computed tomography scan revealed bilateral lung consolidation&#44; particularly in the S6 area on the right side&#46; The transthoracic lung biopsy led to suspicion of ELP&#46; Precise anamnesis confirms the diagnosis of ELP caused by chronic improper use of baby body oil&#46; Two years after discontinuing &#12287;baby body oil therapy&#12287;&#44; a chest CT scan revealed partial regression of pulmonary infiltration&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Conclusion</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">The diagnosis of exogenous lipoid pneumonia is often difficult as symptoms&#44; signs&#44; and radiographic findings are all rather non-specific&#46; We would like to emphasize the role of precise case history in better identification of ELP&#46;</p></span>"
        "secciones" => array:3 [
          0 => array:2 [
            "identificador" => "abst0005"
            "titulo" => "Introduction"
          ]
          1 => array:2 [
            "identificador" => "abst0010"
            "titulo" => "Case report"
          ]
          2 => array:2 [
            "identificador" => "abst0015"
            "titulo" => "Conclusion"
          ]
        ]
      ]
      "pt" => array:3 [
        "titulo" => "Resumo"
        "resumen" => "<span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0030">Introdu&#231;&#227;o</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">A pneumonia lipoide ex&#243;gena &#40;ELP&#41; &#233; uma condi&#231;&#227;o incomum resultante da aspira&#231;&#227;o ou inala&#231;&#227;o de material gorduroso&#46; Estas subst&#226;ncias provocam uma rea&#231;&#227;o a corpo estranho que pode resultar em fibrose pulmonar proliferativa&#46;</p></span> <span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Caso cl&#237;nico</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Neste trabalho relatamos o caso de uma doente de 38 anos com infiltrado pulmonar bilateral&#46; N&#227;o houve sintomas resultantes desta infiltra&#231;&#227;o infiltra&#231;&#227;o no momento do diagn&#243;stico&#46; Esta altera&#231;&#227;o imagiol&#243;gica foi encontrada&#44; por acaso&#44; durante o exame pr&#233;-operat&#243;rio&#46; A tomografia computadorizada do t&#243;rax revelou consolida&#231;&#227;o pulmonar bilateral&#44; particularmente na &#225;rea S6 do lado direito&#46; A bi&#243;psia transtor&#225;cica pulmonar conduziu a uma suspeita de ELP&#46; Uma an&#225;lise precisa do hist&#243;rico da paciente confirmou o diagn&#243;stico de ELP provocada por uma utiliza&#231;&#227;o continuada e desapropriada de &#243;leo corporal para beb&#233;s&#46; Dois anos ap&#243;s a descontinua&#231;&#227;o da exposi&#231;&#227;o ao &#243;leo corporal para beb&#233;s&#44; uma tomografia computorizada de t&#243;rax revelou uma regress&#227;o parcial do infiltrado pulmonar&#46;</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Conclus&#245;es</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">O diagn&#243;stico de pneumonia lipoide ex&#243;gena &#233; muitas vezes dif&#237;cil&#44; j&#225; que os sintomas&#44; sinais e imagens radiol&#243;gicas s&#227;o bastante inespec&#237;ficos&#46; Gostar&#237;amos de destacar a import&#226;ncia da an&#225;lise precisa do hist&#243;rico dos pacientes para uma melhor identifica&#231;&#227;o de ELP&#46;</p></span>"
        "secciones" => array:3 [
          0 => array:2 [
            "identificador" => "abst0020"
            "titulo" => "Introdu&#231;&#227;o"
          ]
          1 => array:2 [
            "identificador" => "abst0025"
            "titulo" => "Caso cl&#237;nico"
          ]
          2 => array:2 [
            "identificador" => "abst0030"
            "titulo" => "Conclus&#245;es"
          ]
        ]
      ]
    ]
    "multimedia" => array:3 [
      0 => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 1244
            "Ancho" => 2333
            "Tamanyo" => 167211
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Chest X-rays at diagnosis &#40;A&#41; and six months after diagnosis &#40;B&#41;&#46; Extensive and intense infiltration with maximum intensity on the right side&#44; in the area of segment S6 at diagnosis&#44; and partial regression of pulmonary infiltration six months later&#46;</p>"
        ]
      ]
      1 => array:7 [
        "identificador" => "fig0010"
        "etiqueta" => "Figure 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 900
            "Ancho" => 2333
            "Tamanyo" => 275143
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Chest high-resolution computed tomography &#40;HRCT&#41; at diagnosis &#40;A&#41; and two years after diagnosis &#40;B&#41;&#46; Bilateral lung infiltration in the lower lobes&#44; particularly on the right side in the area of segment S6&#44; with the following dimensions&#58; 85<span class="elsevierStyleHsp" style=""></span>mm<span class="elsevierStyleHsp" style=""></span>&#255;<span class="elsevierStyleHsp" style=""></span>38<span class="elsevierStyleHsp" style=""></span>mm<span class="elsevierStyleHsp" style=""></span>&#255;<span class="elsevierStyleHsp" style=""></span>70<span class="elsevierStyleHsp" style=""></span>mm&#46; The surrounding tissue shows ground-glass opacities&#44; thickened interlobular septa&#44; and a craving paving picture with air bronchogram &#40;A&#41;&#46; Partial regression of pulmonary infiltration after discontinuation of &#12287;baby body oil therapy&#12287; &#40;B&#41;&#46;</p>"
        ]
      ]
      2 => array:7 [
        "identificador" => "fig0015"
        "etiqueta" => "Figure 3"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr3.jpeg"
            "Alto" => 1180
            "Ancho" => 1583
            "Tamanyo" => 532761
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Hematoxylin- and eosin-stained slide &#40;&#255;200&#41; of patient&#39;s lung tissue&#46; Instead of normal alveoli in the lung&#44; there are empty spaces of different sizes&#44; lined with partially flattened multinucleated giant cells&#46; Between those empty places&#44; there is fibrous connective tissue&#44; sometimes with infiltration of lymphocytes&#46; In the connective tissue&#44; there are also foreign body granulomas with large multinucleated cells that have vacuoles in the cytoplasm&#46; The lesions do not have a distinct margin from the normal lung&#46;</p>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:12 [
            0 => array:3 [
              "identificador" => "bib0005"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Exogenous lipid pneumonia&#58; a retrospective multicentre study of 44 cases in France"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A&#46; Gondouin"
                            1 => "P&#46; Manzoni"
                            2 => "E&#46; Ranfaing"
                            3 => "J&#46; Brun"
                            4 => "J&#46; Cadranel"
                            5 => "D&#46; Sadoun"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Eur Respir J"
                        "fecha" => "1996"
                        "volumen" => "9"
                        "paginaInicial" => "1463"
                        "paginaFinal" => "1469"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8836660"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Exogenous lipid pneumonia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "V&#46; Cottin"
                            1 => "L&#46; Chalabreysse"
                            2 => "J&#46;F&#46; Cordier"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1159/000097316"
                      "Revista" => array:6 [
                        "tituloSerie" => "Respiration"
                        "fecha" => "2008"
                        "volumen" => "76"
                        "paginaInicial" => "442"
                        "paginaFinal" => "443"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17119317"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Exogenous lipoid pneumonia&#46; Clinical and radiological manifestations"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "E&#46; Marchiori"
                            1 => "G&#46; Zanetti"
                            2 => "C&#46;M&#46; Mano"
                            3 => "B&#46; Hochhegger"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.rmed.2010.12.001"
                      "Revista" => array:6 [
                        "tituloSerie" => "Respir Med"
                        "fecha" => "2011"
                        "volumen" => "105"
                        "paginaInicial" => "659"
                        "paginaFinal" => "666"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21185165"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The crazy-paving pattern in exogenous lipoid pneumonia&#58; CT pathologic correlation"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "T&#46; Franquet"
                            1 => "A&#46; Gimenes"
                            2 => "R&#46; Bordes"
                            3 => "J&#46;M&#46; Rodr&#237;guez-Arias"
                            4 => "J&#46; Castella"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Am J Roentgenol"
                        "fecha" => "1998"
                        "volumen" => "170"
                        "paginaInicial" => "315"
                        "paginaFinal" => "317"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Lipoid pneumonia in 53 patients after aspiration of mineral oil&#58; comparison of high resolution computed tomography findings in adults and children"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "E&#46; Marchiori"
                            1 => "G&#46; Zanetti"
                            2 => "C&#46;M&#46; Mano"
                            3 => "K&#46;L&#46; Irion"
                            4 => "P&#46;A&#46; Daltro"
                            5 => "B&#46; Hochhegger"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/RCT.0b013e3181a9ec9f"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Comput Assist Tomogr"
                        "fecha" => "2010"
                        "volumen" => "34"
                        "paginaInicial" => "9"
                        "paginaFinal" => "12"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20118714"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Optimizing the utility of high resolution computed tomography in diagnosing exogenous lipoid pneumonia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "E&#46; Marchiori"
                            1 => "G&#46; Zanetti"
                            2 => "F&#46;B&#46; Fontes"
                            3 => "B&#46; Hochhegger"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.hrtlng.2011.10.006"
                      "Revista" => array:6 [
                        "tituloSerie" => "Heart Lung"
                        "fecha" => "2012"
                        "volumen" => "41"
                        "paginaInicial" => "207"
                        "paginaFinal" => "208"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22138205"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0035"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Perils of fire eating&#46; An acute form of lipoid pneumonia or fire eater&#39;s lung"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "J&#46;M&#46; Kitchen"
                            1 => "D&#46;E&#46; O&#12287;Brien"
                            2 => "A&#46;M&#46; McLaughlin"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1136/thx.2007.090001"
                      "Revista" => array:5 [
                        "tituloSerie" => "Thorax"
                        "fecha" => "2008"
                        "volumen" => "63"
                        "paginaInicial" => "401"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18443157"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Exogenous lipoid pneumonia caused by paraffin in an amateur fire breather"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "I&#46; Weinberg"
                            1 => "Z&#46;G&#46; Fridlender"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Occup Med &#40;Lond&#41;"
                        "fecha" => "2010"
                        "volumen" => "60"
                        "paginaInicial" => "234"
                        "paginaFinal" => "235"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib0045"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Exogenous lipoid pneumonia &#12287; a case report of a fire-eater"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "M&#46; Pielaszkiewicz-Wydra"
                            1 => "B&#46; Homola-Piekarska"
                            2 => "E&#46; Szcze¿niak"
                            3 => "M&#46; Cio¿ek-Zdun"
                            4 => "A&#46; Fall"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Pol J Radiol"
                        "fecha" => "2012"
                        "volumen" => "77"
                        "paginaInicial" => "60"
                        "paginaFinal" => "64"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23269939"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib0050"
              "etiqueta" => "10"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Lipoid pneumonia&#58; a silent complication of mineral oil aspiration"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "H&#46;P&#46;R&#46; Bandla"
                            1 => "S&#46;H&#46; Davis"
                            2 => "E&#46;N&#46; Hopkins"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Pediatrics"
                        "fecha" => "1999"
                        "volumen" => "103"
                        "paginaInicial" => "19"
                        "paginaFinal" => "22"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib0055"
              "etiqueta" => "11"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Amiodarone&#58; review of pulmonary effects and toxicity"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "S&#46;A&#46; Papiris"
                            1 => "C&#46; Triantafillidou"
                            2 => "L&#46; Kolilekas"
                            3 => "D&#46; Markoulaki"
                            4 => "E&#46;D&#46; Manali"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.2165/11532320-000000000-00000"
                      "Revista" => array:6 [
                        "tituloSerie" => "Drug Saf"
                        "fecha" => "2010"
                        "volumen" => "33"
                        "paginaInicial" => "539"
                        "paginaFinal" => "558"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20553056"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib0060"
              "etiqueta" => "12"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Case of exogenous lipoid pneumonia&#58; steroid therapy and lung lavage with an emulsifier"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "R&#46; Russo"
                            1 => "D&#46; Chiumello"
                            2 => "G&#46; Cassani"
                            3 => "G&#46; Maiocchi"
                            4 => "L&#46; Gattinoni"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Anesthesiology"
                        "fecha" => "2006"
                        "volumen" => "104"
                        "paginaInicial" => "197"
                        "paginaFinal" => "198"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16394707"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/08732159/0000001900000005/v3_201509041357/S0873215913000561/v3_201509041357/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "9580"
    "tipo" => "SECCION"
    "pt" => array:2 [
      "titulo" => "Casos cl&#237;nicos"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "pt"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/08732159/0000001900000005/v3_201509041357/S0873215913000561/v3_201509041357/en/main.pdf?idApp=UINPBA00004E&text.app=https://journalpulmonology.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215913000561?idApp=UINPBA00004E"
]
Share
Journal Information

Statistics

Follow this link to access the full text of the article

Case report
Exogenous lipoid pneumonia caused by chronic improper use of baby body oil in adult patient
Pneumonia lipoide exógena provocada pela utilização crónica indevida de óleo corporal para bebés num paciente adulto
M. Doubkováa,⿿
Corresponding author
doubkovamartina@seznam.cz

Corresponding author.
, M. Doubekb, M. Moulisc, J. Sk¿iĿkováa
a Department of Pneumology and Phthiseology, Faculty of Medicine and University Hospital, Brno, Czech Republic
b Central European Institute of Technology, Masaryk University, Brno, Czech Republic
c Department of Pathology, Faculty of Medicine and University Hospital, Brno, Czech Republic
Read
43758
Times
was read the article
3716
Total PDF
40042
Total HTML
Share statistics
 array:24 [
  "pii" => "S0873215913000561"
  "issn" => "08732159"
  "doi" => "10.1016/j.rppneu.2013.05.002"
  "estado" => "S300"
  "fechaPublicacion" => "2013-09-01"
  "aid" => "158"
  "copyright" => "Sociedade Portuguesa de Pneumologia"
  "copyrightAnyo" => "2012"
  "documento" => "article"
  "crossmark" => 0
  "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
  "subdocumento" => "sco"
  "cita" => "Rev Port Pneumol. 2013;19:233-6"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 32586
    "formatos" => array:3 [
      "EPUB" => 315
      "HTML" => 30511
      "PDF" => 1760
    ]
  ]
  "itemSiguiente" => array:20 [
    "pii" => "S0873215913000792"
    "issn" => "08732159"
    "doi" => "10.1016/j.rppneu.2013.06.004"
    "estado" => "S300"
    "fechaPublicacion" => "2013-09-01"
    "aid" => "164"
    "copyright" => "Sociedade Portuguesa de Pneumologia"
    "documento" => "simple-article"
    "crossmark" => 0
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "cor"
    "cita" => "Rev Port Pneumol. 2013;19:237-8"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 20796
      "formatos" => array:3 [
        "EPUB" => 253
        "HTML" => 18724
        "PDF" => 1819
      ]
    ]
    "pt" => array:11 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Carta ao Editor</span>"
      "titulo" => "Abordagem diagn&#243;stica na tuberculose ganglionar"
      "tienePdf" => "pt"
      "tieneTextoCompleto" => "pt"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "237"
          "paginaFinal" => "238"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Diagnostic approaches in tuberculous lymphadenitis"
        ]
      ]
      "contieneTextoCompleto" => array:1 [
        "pt" => true
      ]
      "contienePdf" => array:1 [
        "pt" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Figura 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 800
              "Ancho" => 3000
              "Tamanyo" => 209630
            ]
          ]
          "descripcion" => array:1 [
            "pt" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Abordagens diagn&#243;sticas e resultados obtidos em todos os doentes com TB ganglionar inclu&#237;dos no estudo &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>60&#41; &#40;esquerda&#41; e diagrama incluindo apenas os doentes nos quais foram realizadas todas as an&#225;lises &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>13&#41; &#40;direita&#41;&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "F&#46; Soares Pires, M&#46; van Zeller, R&#46; Reis, A&#46; Carvalho, R&#46; Duarte"
          "autores" => array:5 [
            0 => array:2 [
              "nombre" => "F&#46;"
              "apellidos" => "Soares Pires"
            ]
            1 => array:2 [
              "nombre" => "M&#46;"
              "apellidos" => "van Zeller"
            ]
            2 => array:2 [
              "nombre" => "R&#46;"
              "apellidos" => "Reis"
            ]
            3 => array:2 [
              "nombre" => "A&#46;"
              "apellidos" => "Carvalho"
            ]
            4 => array:2 [
              "nombre" => "R&#46;"
              "apellidos" => "Duarte"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "pt"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "S2173511513000675"
        "doi" => "10.1016/j.rppnen.2013.09.004"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "en"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173511513000675?idApp=UINPBA00004E"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215913000792?idApp=UINPBA00004E"
    "url" => "/08732159/0000001900000005/v3_201509041357/S0873215913000792/v3_201509041357/pt/main.assets"
  ]
  "itemAnterior" => array:20 [
    "pii" => "S087321591300055X"
    "issn" => "08732159"
    "doi" => "10.1016/j.rppneu.2013.05.001"
    "estado" => "S300"
    "fechaPublicacion" => "2013-09-01"
    "aid" => "157"
    "copyright" => "Sociedade Portuguesa de Pneumologia"
    "documento" => "article"
    "crossmark" => 0
    "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/"
    "subdocumento" => "sco"
    "cita" => "Rev Port Pneumol. 2013;19:228-32"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 9240
      "formatos" => array:3 [
        "EPUB" => 280
        "HTML" => 7504
        "PDF" => 1456
      ]
    ]
    "pt" => array:13 [
      "idiomaDefecto" => true
      "cabecera" => "<span class="elsevierStyleTextfn">Caso cl&#237;nico</span>"
      "titulo" => "Osteonecrose da mand&#237;bula associada aos bifosfonatos em doentes com cancro do pulm&#227;o"
      "tienePdf" => "pt"
      "tieneTextoCompleto" => "pt"
      "tieneResumen" => array:2 [
        0 => "pt"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "228"
          "paginaFinal" => "232"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Bisphosphonate-associated osteonecrosis of the jaws in lung cancer patients"
        ]
      ]
      "contieneResumen" => array:2 [
        "pt" => true
        "en" => true
      ]
      "contieneTextoCompleto" => array:1 [
        "pt" => true
      ]
      "contienePdf" => array:1 [
        "pt" => true
      ]
      "resumenGrafico" => array:2 [
        "original" => 0
        "multimedia" => array:7 [
          "identificador" => "fig0005"
          "etiqueta" => "Figura 1"
          "tipo" => "MULTIMEDIAFIGURA"
          "mostrarFloat" => true
          "mostrarDisplay" => false
          "figura" => array:1 [
            0 => array:4 [
              "imagen" => "gr1.jpeg"
              "Alto" => 2382
              "Ancho" => 1583
              "Tamanyo" => 254809
            ]
          ]
          "descripcion" => array:1 [
            "pt" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">A&#46; TC da face&#58; marcada modifica&#231;&#227;o da trabecula&#231;&#227;o &#243;ssea do corpo da mand&#237;bula direita&#44; com cerca de 3&#44;5<span class="elsevierStyleHsp" style=""></span>cm de comprimento&#46; B&#46; Ortopantomografia mostrando altera&#231;&#245;es na mand&#237;bula direita&#46;</p>"
          ]
        ]
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "In&#234;s Neves, Ant&#243;nio Morais, Adriana Magalh&#227;es"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "In&#234;s"
              "apellidos" => "Neves"
            ]
            1 => array:2 [
              "nombre" => "Ant&#243;nio"
              "apellidos" => "Morais"
            ]
            2 => array:2 [
              "nombre" => "Adriana"
              "apellidos" => "Magalh&#227;es"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "pt"
    "Traduccion" => array:1 [
      "en" => array:9 [
        "pii" => "S2173511513000663"
        "doi" => "10.1016/j.rppnen.2013.09.003"
        "estado" => "S300"
        "subdocumento" => ""
        "abierto" => array:3 [
          "ES" => true
          "ES2" => true
          "LATM" => true
        ]
        "gratuito" => true
        "lecturas" => array:1 [
          "total" => 0
        ]
        "idiomaDefecto" => "en"
        "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173511513000663?idApp=UINPBA00004E"
      ]
    ]
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S087321591300055X?idApp=UINPBA00004E"
    "url" => "/08732159/0000001900000005/v3_201509041357/S087321591300055X/v3_201509041357/pt/main.assets"
  ]
  "en" => array:19 [
    "idiomaDefecto" => true
    "cabecera" => "<span class="elsevierStyleTextfn">Case report</span>"
    "titulo" => "Exogenous lipoid pneumonia caused by chronic improper use of baby body oil in adult patient"
    "tieneTextoCompleto" => true
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "233"
        "paginaFinal" => "236"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "M&#46; Doubkov&#225;, M&#46; Doubek, M&#46; Moulis, J&#46; Sk¿i&#319;kov&#225;"
        "autores" => array:4 [
          0 => array:4 [
            "nombre" => "M&#46;"
            "apellidos" => "Doubkov&#225;"
            "email" => array:1 [
              0 => "doubkovamartina&#64;seznam&#46;cz"
            ]
            "referencia" => array:2 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
              1 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">&#12287;</span>"
                "identificador" => "cor0005"
              ]
            ]
          ]
          1 => array:3 [
            "nombre" => "M&#46;"
            "apellidos" => "Doubek"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">b</span>"
                "identificador" => "aff0010"
              ]
            ]
          ]
          2 => array:3 [
            "nombre" => "M&#46;"
            "apellidos" => "Moulis"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">c</span>"
                "identificador" => "aff0015"
              ]
            ]
          ]
          3 => array:3 [
            "nombre" => "J&#46;"
            "apellidos" => "Sk¿i&#319;kov&#225;"
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">a</span>"
                "identificador" => "aff0005"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:3 [
          0 => array:3 [
            "entidad" => "Department of Pneumology and Phthiseology&#44; Faculty of Medicine and University Hospital&#44; Brno&#44; Czech Republic"
            "etiqueta" => "a"
            "identificador" => "aff0005"
          ]
          1 => array:3 [
            "entidad" => "Central European Institute of Technology&#44; Masaryk University&#44; Brno&#44; Czech Republic"
            "etiqueta" => "b"
            "identificador" => "aff0010"
          ]
          2 => array:3 [
            "entidad" => "Department of Pathology&#44; Faculty of Medicine and University Hospital&#44; Brno&#44; Czech Republic"
            "etiqueta" => "c"
            "identificador" => "aff0015"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor0005"
            "etiqueta" => "&#12287;"
            "correspondencia" => "Corresponding author&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "pt" => array:1 [
        "titulo" => "Pneumonia lipoide ex&#243;gena provocada pela utiliza&#231;&#227;o cr&#243;nica indevida de &#243;leo corporal para beb&#233;s num paciente adulto"
      ]
    ]
    "resumenGrafico" => array:2 [
      "original" => 0
      "multimedia" => array:7 [
        "identificador" => "fig0010"
        "etiqueta" => "Figure 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 900
            "Ancho" => 2333
            "Tamanyo" => 275143
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Chest high-resolution computed tomography &#40;HRCT&#41; at diagnosis &#40;A&#41; and two years after diagnosis &#40;B&#41;&#46; Bilateral lung infiltration in the lower lobes&#44; particularly on the right side in the area of segment S6&#44; with the following dimensions&#58; 85<span class="elsevierStyleHsp" style=""></span>mm<span class="elsevierStyleHsp" style=""></span>&#255;<span class="elsevierStyleHsp" style=""></span>38<span class="elsevierStyleHsp" style=""></span>mm<span class="elsevierStyleHsp" style=""></span>&#255;<span class="elsevierStyleHsp" style=""></span>70<span class="elsevierStyleHsp" style=""></span>mm&#46; The surrounding tissue shows ground-glass opacities&#44; thickened interlobular septa&#44; and a craving paving picture with air bronchogram &#40;A&#41;&#46; Partial regression of pulmonary infiltration after discontinuation of &#12287;baby body oil therapy&#12287; &#40;B&#41;&#46;</p>"
        ]
      ]
    ]
    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0055">Introduction</span><p id="par0005" class="elsevierStylePara elsevierViewall">Lipoid pneumonia can be classified as endogenous&#44; idiopathic&#44; or exogenous&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> Endogenous lipoid pneumonia is the least frequent and is generally observed in patients with chronic bronchial obstruction of the airways by tumors&#44; bronchiolitis obliterans&#44; and lipid storage diseases such as Gaucher&#39;s disease and Niemann&#12287;Pick disease&#46; Idiopathic lipoid pneumonia is a rare disorder and has been associated with smoking in healthy individuals&#46; Exogenous lipoid pneumonia &#40;ELP&#41; is an uncommon condition resulting from aspirating or inhaling fat-like material&#46;<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;2</span></a> These substances elicit a foreign body reaction and proliferative fibrosis in the lung&#46; Symptoms can vary significantly among individuals&#44; ranging from asymptomatic to severe&#44; life-threatening disease&#46; The radiological findings have variable patterns and distribution&#46; For this reason&#44; lipoid pneumonia may mimic many other diseases&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> The diagnosis of ELP is based on a history of exposure to oil&#44; characteristic radiological findings&#44; and the presence of lipid-laden macrophages in sputum or BAL analysis&#46; There are currently no studies in literature that define the best therapeutic option&#59; however&#44; there is a consensus that the key measure is identifying and discontinuing exposure to the offending agent&#46;<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;2</span></a></p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0060">Case report</span><p id="par0010" class="elsevierStylePara elsevierViewall">A 38-year-old woman was referred to our department for bilateral pulmonary infiltration&#46; The infiltration was found coincidentally during the pre-operation examination before leg varices surgery&#46; Nothing was bothering the patient&#46; She was a non-smoker and did not take any regular medication&#46; The pulmonary function test proved a mild impairment of diffusing capacity &#40;61&#37; diffusing capacity for carbon monoxide &#12287; DL<span class="elsevierStyleInf">CO</span>&#41;&#46; Nevertheless&#44; her chest X-ray disclosed extensive infiltration in both lungs &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>A&#41;&#46; A chest computed tomography &#40;CT&#41; scan revealed bilateral lung consolidation&#44; particularly in the S6 area on the right side &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>A&#41;&#46; In differential diagnosis according to findings of high-resolution CT &#40;HRCT&#41; of thorax&#44; we considered pulmonary alveolar proteinosis&#44; alveolar hemorrhage&#44; or bronchioloalveolar carcinoma&#46; However&#44; the clear right predominance of lesions gave primary support to the aspiration etiology of lesions&#46; Laboratory blood findings &#40;hematology&#44; biochemistry&#44; antibody&#44; tumor markers&#41; were normal&#46; By auscultation&#44; we found sporadic crackles over the right lung&#46; The bronchoalveolar fluid had a greasy appearance&#46; Lymphocytic alveolitis was also found &#40;lymphocytes 21&#37;&#41;&#46; The transthoracic lung biopsy revealed vacuolated macrophages&#44; giant cells&#44; optically empty spots&#44; a foreign body reaction with granulomatous process&#46; All vacuolated macrophages contained lipids &#40;lipophages&#41; and represented 35&#37; of all cells in the biopsy&#46; This finding raised the suspicion of oil substance aspiration &#12287; ELP &#40;<a class="elsevierStyleCrossRef" href="#fig0015">Fig&#46; 3</a>&#41;&#46; Subsequently&#44; the patient confessed to daily nasal application of baby body oil drops &#40;with azulene and medicinal liquid paraffin&#41; over a period of five years to treat the dryness of her nasal mucosa&#46; The otorhinolaryngologic examination was normal&#46; The patient refused glucocorticoid therapy&#46; Regular controls of the pulmonary function test&#44; chest X-ray &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>B&#41; and HRCT of thorax were performed in the patient&#46; Two years after discontinuing &#12287;baby body oil therapy&#12287;&#44; a chest CT scan revealed partial improvement &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>B&#41;&#46; We proposed additional corticosteroid therapy due to persisting lesions on CT&#46; However&#44; this therapy was refused by the patient&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">Discussion</span><p id="par0015" class="elsevierStylePara elsevierViewall">ELP is a rare disease resulting from the micro-aspiration of lipid formulations&#46; These substances elicit a foreign body reaction and proliferative fibrosis in the lung&#46; Acute&#44; sometimes fatal&#44; cases can occur&#44; but the disease is usually indolent&#46; The diagnosis of ELP is often difficult as symptoms&#44; signs&#44; and radiographic findings can be non-specific&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> On HRCT&#44; alveolar filling causes a ground-glass pattern of a crazy paving appearance&#44; which stays at some distance from the pleura and exhibits low attenuation numbers&#46; On the other hand&#44; in unenhanced HRCT&#44; pulmonary vessels may spontaneously be visible within the areas of parenchymal filling&#44; a sign known as the &#12287;spontaneous angiogram&#12287;&#46;<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">3&#12287;5</span></a> The most characteristic computed tomography of finding of ELP is the presence of low-density space consolidation &#40;&#12287;30 to &#12287;150 Hounsfield units&#41; in the lungs&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> As illustrated by our case&#44; there should be a clear right predominance of lesions supporting an aspiration etiology of pneumonia&#46; A lung biopsy is not always indicated for diagnosis&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> Diagnosis of ELP is suggested at history taking&#44; and is confirmed by the examination of sputum or BAL&#44; which show lipid laden cells and free-floating oil&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Our case was caused by improper use of baby body oil containing paraffin&#46; So far&#44; paraffin has been described as a cause of ELP in fire-eaters&#44;<a class="elsevierStyleCrossRefs" href="#bib0035"><span class="elsevierStyleSup">7&#12287;9</span></a> and in children&#46;<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">10</span></a> In differential diagnosis of ELP in adults&#44; mainly lipoid pneumonia caused by amiodarone must be taken into consideration&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">11</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">Treatment of LP is not well-studied&#46; Treatment in patients without clinical symptoms remains controversial&#44; but in patients with diffuse pulmonary damage&#44; therapies have been reported&#46; Avoiding ongoing exposure and providing supportive care is the mainstay of treatment&#46; Not every patient with exogenous lipoid pneumonia will improve after the withdrawal of lipid-containing material or corticosteroid therapy&#46; Gondouin et al&#46;&#44; in a retrospective multicenter study&#44; found that corticosteroid therapy had not been very effective for every cases of lipoid pneumonia&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> The use of systemic corticosteroids in patients without clinical symptoms remains controversial&#59; however&#44; whole lung lavages&#44; and systemic corticosteroids have been used in patients with diffuse pulmonary damage&#46;<a class="elsevierStyleCrossRefs" href="#bib0005"><span class="elsevierStyleSup">1&#44;12</span></a> In our case&#44; however&#44; corticosteroid therapy has been refused by the patient&#46; Complications of this disease include recurrent bronchopneumonia&#44; superinfection&#44; pulmonary fibrosis&#44; and lung cancer&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a></p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">Conclusion</span><p id="par0030" class="elsevierStylePara elsevierViewall">The diagnosis of ELP is often difficult as symptoms&#44; signs&#44; and radiographic findings can be non-specific&#46; Chronic improper use of miscellaneous oil substances can cause this very rare disorder and we would like to emphasize the role of precise case history in better identification of interstitial lung disorders&#46; Correct HRCT description avoids the misdiagnosis of ELP&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Ethical disclosures</span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Protection of human and animal subjects</span><p id="par0035" class="elsevierStylePara elsevierViewall">The authors declare that no experiments were performed on humans or animals for this study&#46;</p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Confidentiality of data</span><p id="par0040" class="elsevierStylePara elsevierViewall">The authors declare that they have followed the protocols of their work center on the publication of patient data and that all the patients included in the study received sufficient information and gave their written informed consent to participate in the study&#46;</p></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Right to privacy and informed consent</span><p id="par0045" class="elsevierStylePara elsevierViewall">The authors have obtained the written informed consent of the patients or subjects mentioned in the article&#46; The corresponding author is in possession of this document&#46;</p></span></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Conflicts of interest</span><p id="par0050" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare&#46;</p></span></span>"
    "textoCompletoSecciones" => array:1 [
      "secciones" => array:11 [
        0 => array:3 [
          "identificador" => "xres547672"
          "titulo" => "Abstract"
          "secciones" => array:3 [
            0 => array:2 [
              "identificador" => "abst0005"
              "titulo" => "Introduction"
            ]
            1 => array:2 [
              "identificador" => "abst0010"
              "titulo" => "Case report"
            ]
            2 => array:2 [
              "identificador" => "abst0015"
              "titulo" => "Conclusion"
            ]
          ]
        ]
        1 => array:2 [
          "identificador" => "xpalclavsec565553"
          "titulo" => "Keywords"
        ]
        2 => array:3 [
          "identificador" => "xres547673"
          "titulo" => "Resumo"
          "secciones" => array:3 [
            0 => array:2 [
              "identificador" => "abst0020"
              "titulo" => "Introdu&#231;&#227;o"
            ]
            1 => array:2 [
              "identificador" => "abst0025"
              "titulo" => "Caso cl&#237;nico"
            ]
            2 => array:2 [
              "identificador" => "abst0030"
              "titulo" => "Conclus&#245;es"
            ]
          ]
        ]
        3 => array:2 [
          "identificador" => "xpalclavsec565552"
          "titulo" => "Palavras-chave"
        ]
        4 => array:2 [
          "identificador" => "sec0005"
          "titulo" => "Introduction"
        ]
        5 => array:2 [
          "identificador" => "sec0010"
          "titulo" => "Case report"
        ]
        6 => array:2 [
          "identificador" => "sec0015"
          "titulo" => "Discussion"
        ]
        7 => array:2 [
          "identificador" => "sec0020"
          "titulo" => "Conclusion"
        ]
        8 => array:3 [
          "identificador" => "sec0025"
          "titulo" => "Ethical disclosures"
          "secciones" => array:3 [
            0 => array:2 [
              "identificador" => "sec0030"
              "titulo" => "Protection of human and animal subjects"
            ]
            1 => array:2 [
              "identificador" => "sec0035"
              "titulo" => "Confidentiality of data"
            ]
            2 => array:2 [
              "identificador" => "sec0040"
              "titulo" => "Right to privacy and informed consent"
            ]
          ]
        ]
        9 => array:2 [
          "identificador" => "sec0045"
          "titulo" => "Conflicts of interest"
        ]
        10 => array:1 [
          "titulo" => "References"
        ]
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2012-12-03"
    "fechaAceptado" => "2013-05-11"
    "PalabrasClave" => array:2 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec565553"
          "palabras" => array:3 [
            0 => "Aspiration"
            1 => "Exogenous lipoid pneumonia"
            2 => "Baby body oil"
          ]
        ]
      ]
      "pt" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palavras-chave"
          "identificador" => "xpalclavsec565552"
          "palabras" => array:3 [
            0 => "Aspira&#231;&#227;o"
            1 => "Pneumonia lipoide ex&#243;gena"
            2 => "&#255;leo corporal para beb&#233;s"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "en" => array:3 [
        "titulo" => "Abstract"
        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Introduction</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Exogenous lipoid pneumonia &#40;ELP&#41; is an uncommon condition resulting from aspirating or inhaling fatlike material&#46; These substances elicit a foreign body reaction and proliferative fibrosis in the lung&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Case report</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">We report a case of a 38-year-old woman with bilateral pulmonary infiltration&#46; There were no clinical symptoms of this infiltration at diagnosis&#46; The infiltration was found coincidentally during the pre-operation examination before surgery&#46; A chest computed tomography scan revealed bilateral lung consolidation&#44; particularly in the S6 area on the right side&#46; The transthoracic lung biopsy led to suspicion of ELP&#46; Precise anamnesis confirms the diagnosis of ELP caused by chronic improper use of baby body oil&#46; Two years after discontinuing &#12287;baby body oil therapy&#12287;&#44; a chest CT scan revealed partial regression of pulmonary infiltration&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Conclusion</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">The diagnosis of exogenous lipoid pneumonia is often difficult as symptoms&#44; signs&#44; and radiographic findings are all rather non-specific&#46; We would like to emphasize the role of precise case history in better identification of ELP&#46;</p></span>"
        "secciones" => array:3 [
          0 => array:2 [
            "identificador" => "abst0005"
            "titulo" => "Introduction"
          ]
          1 => array:2 [
            "identificador" => "abst0010"
            "titulo" => "Case report"
          ]
          2 => array:2 [
            "identificador" => "abst0015"
            "titulo" => "Conclusion"
          ]
        ]
      ]
      "pt" => array:3 [
        "titulo" => "Resumo"
        "resumen" => "<span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0030">Introdu&#231;&#227;o</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">A pneumonia lipoide ex&#243;gena &#40;ELP&#41; &#233; uma condi&#231;&#227;o incomum resultante da aspira&#231;&#227;o ou inala&#231;&#227;o de material gorduroso&#46; Estas subst&#226;ncias provocam uma rea&#231;&#227;o a corpo estranho que pode resultar em fibrose pulmonar proliferativa&#46;</p></span> <span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Caso cl&#237;nico</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Neste trabalho relatamos o caso de uma doente de 38 anos com infiltrado pulmonar bilateral&#46; N&#227;o houve sintomas resultantes desta infiltra&#231;&#227;o infiltra&#231;&#227;o no momento do diagn&#243;stico&#46; Esta altera&#231;&#227;o imagiol&#243;gica foi encontrada&#44; por acaso&#44; durante o exame pr&#233;-operat&#243;rio&#46; A tomografia computadorizada do t&#243;rax revelou consolida&#231;&#227;o pulmonar bilateral&#44; particularmente na &#225;rea S6 do lado direito&#46; A bi&#243;psia transtor&#225;cica pulmonar conduziu a uma suspeita de ELP&#46; Uma an&#225;lise precisa do hist&#243;rico da paciente confirmou o diagn&#243;stico de ELP provocada por uma utiliza&#231;&#227;o continuada e desapropriada de &#243;leo corporal para beb&#233;s&#46; Dois anos ap&#243;s a descontinua&#231;&#227;o da exposi&#231;&#227;o ao &#243;leo corporal para beb&#233;s&#44; uma tomografia computorizada de t&#243;rax revelou uma regress&#227;o parcial do infiltrado pulmonar&#46;</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Conclus&#245;es</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">O diagn&#243;stico de pneumonia lipoide ex&#243;gena &#233; muitas vezes dif&#237;cil&#44; j&#225; que os sintomas&#44; sinais e imagens radiol&#243;gicas s&#227;o bastante inespec&#237;ficos&#46; Gostar&#237;amos de destacar a import&#226;ncia da an&#225;lise precisa do hist&#243;rico dos pacientes para uma melhor identifica&#231;&#227;o de ELP&#46;</p></span>"
        "secciones" => array:3 [
          0 => array:2 [
            "identificador" => "abst0020"
            "titulo" => "Introdu&#231;&#227;o"
          ]
          1 => array:2 [
            "identificador" => "abst0025"
            "titulo" => "Caso cl&#237;nico"
          ]
          2 => array:2 [
            "identificador" => "abst0030"
            "titulo" => "Conclus&#245;es"
          ]
        ]
      ]
    ]
    "multimedia" => array:3 [
      0 => array:7 [
        "identificador" => "fig0005"
        "etiqueta" => "Figure 1"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr1.jpeg"
            "Alto" => 1244
            "Ancho" => 2333
            "Tamanyo" => 167211
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Chest X-rays at diagnosis &#40;A&#41; and six months after diagnosis &#40;B&#41;&#46; Extensive and intense infiltration with maximum intensity on the right side&#44; in the area of segment S6 at diagnosis&#44; and partial regression of pulmonary infiltration six months later&#46;</p>"
        ]
      ]
      1 => array:7 [
        "identificador" => "fig0010"
        "etiqueta" => "Figure 2"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr2.jpeg"
            "Alto" => 900
            "Ancho" => 2333
            "Tamanyo" => 275143
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Chest high-resolution computed tomography &#40;HRCT&#41; at diagnosis &#40;A&#41; and two years after diagnosis &#40;B&#41;&#46; Bilateral lung infiltration in the lower lobes&#44; particularly on the right side in the area of segment S6&#44; with the following dimensions&#58; 85<span class="elsevierStyleHsp" style=""></span>mm<span class="elsevierStyleHsp" style=""></span>&#255;<span class="elsevierStyleHsp" style=""></span>38<span class="elsevierStyleHsp" style=""></span>mm<span class="elsevierStyleHsp" style=""></span>&#255;<span class="elsevierStyleHsp" style=""></span>70<span class="elsevierStyleHsp" style=""></span>mm&#46; The surrounding tissue shows ground-glass opacities&#44; thickened interlobular septa&#44; and a craving paving picture with air bronchogram &#40;A&#41;&#46; Partial regression of pulmonary infiltration after discontinuation of &#12287;baby body oil therapy&#12287; &#40;B&#41;&#46;</p>"
        ]
      ]
      2 => array:7 [
        "identificador" => "fig0015"
        "etiqueta" => "Figure 3"
        "tipo" => "MULTIMEDIAFIGURA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "figura" => array:1 [
          0 => array:4 [
            "imagen" => "gr3.jpeg"
            "Alto" => 1180
            "Ancho" => 1583
            "Tamanyo" => 532761
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Hematoxylin- and eosin-stained slide &#40;&#255;200&#41; of patient&#39;s lung tissue&#46; Instead of normal alveoli in the lung&#44; there are empty spaces of different sizes&#44; lined with partially flattened multinucleated giant cells&#46; Between those empty places&#44; there is fibrous connective tissue&#44; sometimes with infiltration of lymphocytes&#46; In the connective tissue&#44; there are also foreign body granulomas with large multinucleated cells that have vacuoles in the cytoplasm&#46; The lesions do not have a distinct margin from the normal lung&#46;</p>"
        ]
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:2 [
          "identificador" => "bibs0005"
          "bibliografiaReferencia" => array:12 [
            0 => array:3 [
              "identificador" => "bib0005"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Exogenous lipid pneumonia&#58; a retrospective multicentre study of 44 cases in France"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A&#46; Gondouin"
                            1 => "P&#46; Manzoni"
                            2 => "E&#46; Ranfaing"
                            3 => "J&#46; Brun"
                            4 => "J&#46; Cadranel"
                            5 => "D&#46; Sadoun"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Eur Respir J"
                        "fecha" => "1996"
                        "volumen" => "9"
                        "paginaInicial" => "1463"
                        "paginaFinal" => "1469"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8836660"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0010"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Exogenous lipid pneumonia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "V&#46; Cottin"
                            1 => "L&#46; Chalabreysse"
                            2 => "J&#46;F&#46; Cordier"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1159/000097316"
                      "Revista" => array:6 [
                        "tituloSerie" => "Respiration"
                        "fecha" => "2008"
                        "volumen" => "76"
                        "paginaInicial" => "442"
                        "paginaFinal" => "443"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17119317"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib0015"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Exogenous lipoid pneumonia&#46; Clinical and radiological manifestations"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "E&#46; Marchiori"
                            1 => "G&#46; Zanetti"
                            2 => "C&#46;M&#46; Mano"
                            3 => "B&#46; Hochhegger"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.rmed.2010.12.001"
                      "Revista" => array:6 [
                        "tituloSerie" => "Respir Med"
                        "fecha" => "2011"
                        "volumen" => "105"
                        "paginaInicial" => "659"
                        "paginaFinal" => "666"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21185165"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0020"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The crazy-paving pattern in exogenous lipoid pneumonia&#58; CT pathologic correlation"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "T&#46; Franquet"
                            1 => "A&#46; Gimenes"
                            2 => "R&#46; Bordes"
                            3 => "J&#46;M&#46; Rodr&#237;guez-Arias"
                            4 => "J&#46; Castella"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Am J Roentgenol"
                        "fecha" => "1998"
                        "volumen" => "170"
                        "paginaInicial" => "315"
                        "paginaFinal" => "317"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib0025"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Lipoid pneumonia in 53 patients after aspiration of mineral oil&#58; comparison of high resolution computed tomography findings in adults and children"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "E&#46; Marchiori"
                            1 => "G&#46; Zanetti"
                            2 => "C&#46;M&#46; Mano"
                            3 => "K&#46;L&#46; Irion"
                            4 => "P&#46;A&#46; Daltro"
                            5 => "B&#46; Hochhegger"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/RCT.0b013e3181a9ec9f"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Comput Assist Tomogr"
                        "fecha" => "2010"
                        "volumen" => "34"
                        "paginaInicial" => "9"
                        "paginaFinal" => "12"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20118714"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0030"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Optimizing the utility of high resolution computed tomography in diagnosing exogenous lipoid pneumonia"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "E&#46; Marchiori"
                            1 => "G&#46; Zanetti"
                            2 => "F&#46;B&#46; Fontes"
                            3 => "B&#46; Hochhegger"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.hrtlng.2011.10.006"
                      "Revista" => array:6 [
                        "tituloSerie" => "Heart Lung"
                        "fecha" => "2012"
                        "volumen" => "41"
                        "paginaInicial" => "207"
                        "paginaFinal" => "208"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22138205"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib0035"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Perils of fire eating&#46; An acute form of lipoid pneumonia or fire eater&#39;s lung"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "J&#46;M&#46; Kitchen"
                            1 => "D&#46;E&#46; O&#12287;Brien"
                            2 => "A&#46;M&#46; McLaughlin"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1136/thx.2007.090001"
                      "Revista" => array:5 [
                        "tituloSerie" => "Thorax"
                        "fecha" => "2008"
                        "volumen" => "63"
                        "paginaInicial" => "401"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18443157"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0040"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Exogenous lipoid pneumonia caused by paraffin in an amateur fire breather"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "I&#46; Weinberg"
                            1 => "Z&#46;G&#46; Fridlender"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Occup Med &#40;Lond&#41;"
                        "fecha" => "2010"
                        "volumen" => "60"
                        "paginaInicial" => "234"
                        "paginaFinal" => "235"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib0045"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Exogenous lipoid pneumonia &#12287; a case report of a fire-eater"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "M&#46; Pielaszkiewicz-Wydra"
                            1 => "B&#46; Homola-Piekarska"
                            2 => "E&#46; Szcze¿niak"
                            3 => "M&#46; Cio¿ek-Zdun"
                            4 => "A&#46; Fall"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Pol J Radiol"
                        "fecha" => "2012"
                        "volumen" => "77"
                        "paginaInicial" => "60"
                        "paginaFinal" => "64"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23269939"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib0050"
              "etiqueta" => "10"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Lipoid pneumonia&#58; a silent complication of mineral oil aspiration"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "H&#46;P&#46;R&#46; Bandla"
                            1 => "S&#46;H&#46; Davis"
                            2 => "E&#46;N&#46; Hopkins"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Pediatrics"
                        "fecha" => "1999"
                        "volumen" => "103"
                        "paginaInicial" => "19"
                        "paginaFinal" => "22"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib0055"
              "etiqueta" => "11"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Amiodarone&#58; review of pulmonary effects and toxicity"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "S&#46;A&#46; Papiris"
                            1 => "C&#46; Triantafillidou"
                            2 => "L&#46; Kolilekas"
                            3 => "D&#46; Markoulaki"
                            4 => "E&#46;D&#46; Manali"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.2165/11532320-000000000-00000"
                      "Revista" => array:6 [
                        "tituloSerie" => "Drug Saf"
                        "fecha" => "2010"
                        "volumen" => "33"
                        "paginaInicial" => "539"
                        "paginaFinal" => "558"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20553056"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib0060"
              "etiqueta" => "12"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Case of exogenous lipoid pneumonia&#58; steroid therapy and lung lavage with an emulsifier"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "R&#46; Russo"
                            1 => "D&#46; Chiumello"
                            2 => "G&#46; Cassani"
                            3 => "G&#46; Maiocchi"
                            4 => "L&#46; Gattinoni"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Anesthesiology"
                        "fecha" => "2006"
                        "volumen" => "104"
                        "paginaInicial" => "197"
                        "paginaFinal" => "198"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16394707"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/08732159/0000001900000005/v3_201509041357/S0873215913000561/v3_201509041357/en/main.assets"
  "Apartado" => array:4 [
    "identificador" => "9580"
    "tipo" => "SECCION"
    "pt" => array:2 [
      "titulo" => "Casos cl&#237;nicos"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "pt"
  ]
  "PDF" => "https://static.elsevier.es/multimedia/08732159/0000001900000005/v3_201509041357/S0873215913000561/v3_201509041357/en/main.pdf?idApp=UINPBA00004E&text.app=https://journalpulmonology.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0873215913000561?idApp=UINPBA00004E"
]
Article information
ISSN: 08732159
Original language: English
The statistics are updated each day
Year/Month Html Pdf Total
2024 November 46 12 58
2024 October 541 40 581
2024 September 799 33 832
2024 August 147 35 182
2024 July 137 33 170
2024 June 118 28 146
2024 May 113 44 157
2024 April 188 36 224
2024 March 94 27 121
2024 February 73 32 105
2024 January 65 28 93
2023 December 77 28 105
2023 November 89 36 125
2023 October 105 41 146
2023 September 114 34 148
2023 August 89 26 115
2023 July 87 38 125
2023 June 65 18 83
2023 May 88 27 115
2023 April 94 20 114
2023 March 112 29 141
2023 February 105 28 133
2023 January 95 19 114
2022 December 117 30 147
2022 November 146 43 189
2022 October 144 41 185
2022 September 115 31 146
2022 August 151 47 198
2022 July 112 57 169
2022 June 117 31 148
2022 May 110 44 154
2022 April 110 39 149
2022 March 112 52 164
2022 February 120 40 160
2022 January 118 32 150
2021 December 115 66 181
2021 November 90 31 121
2021 October 167 47 214
2021 September 134 55 189
2021 August 121 41 162
2021 July 110 32 142
2021 June 109 36 145
2021 May 169 44 213
2021 April 402 89 491
2021 March 378 34 412
2021 February 218 24 242
2021 January 178 18 196
2020 December 218 28 246
2020 November 168 32 200
2020 October 144 21 165
2020 September 287 25 312
2020 August 229 32 261
2020 July 252 27 279
2020 June 231 31 262
2020 May 240 30 270
2020 April 304 8 312
2020 March 254 16 270
2020 February 252 30 282
2020 January 378 24 402
2019 December 252 29 281
2019 November 345 19 364
2019 October 455 36 491
2019 September 882 38 920
2019 August 386 23 409
2019 July 287 31 318
2019 June 345 24 369
2019 May 381 21 402
2019 April 381 42 423
2019 March 352 34 386
2019 February 306 23 329
2019 January 298 16 314
2018 December 148 13 161
2018 November 62 2 64
2018 October 103 9 112
2018 September 192 8 200
2018 August 434 30 464
2018 July 502 21 523
2018 June 464 14 478
2018 May 558 25 583
2018 April 381 29 410
2018 March 413 17 430
2018 February 349 17 366
2018 January 331 13 344
2017 December 410 28 438
2017 November 327 27 354
2017 October 357 23 380
2017 September 348 18 366
2017 August 347 25 372
2017 July 220 22 242
2017 June 222 15 237
2017 May 336 14 350
2017 April 247 9 256
2017 March 399 17 416
2017 February 540 9 549
2017 January 227 13 240
2016 December 211 18 229
2016 November 389 21 410
2016 October 355 25 380
2016 September 350 13 363
2016 August 264 14 278
2016 July 157 26 183
2016 May 22 33 55
2016 April 366 7 373
2016 March 522 26 548
2016 February 518 24 542
2016 January 596 31 627
2015 December 551 26 577
2015 November 517 22 539
2015 October 509 32 541
2015 September 523 32 555
2015 August 518 45 563
2015 July 544 29 573
2015 June 467 18 485
2015 May 560 26 586
2015 April 641 27 668
2015 March 723 25 748
2015 February 642 29 671
2015 January 666 33 699
2014 December 625 24 649
2014 November 558 18 576
2014 October 644 26 670
2014 September 619 32 651
2014 August 562 15 577
2014 July 473 15 488
2014 June 472 16 488
2014 May 483 15 498
2014 April 435 18 453
2014 March 499 14 513
2014 February 429 21 450
2014 January 409 16 425
2013 December 212 28 240
2013 November 190 43 233
2013 October 115 58 173
2013 September 58 21 79
Show all

Follow this link to access the full text of the article

Pulmonology

Are you a health professional able to prescribe or dispense drugs?