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Vol. 14. Issue 4.
Pages 545-549 (July - August 2008)
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Vol. 14. Issue 4.
Pages 545-549 (July - August 2008)
Caso Clínico/Clinical Case
Open Access
Pneumonia lipóide
Lipoid pneumonia
Visits
6842
Gunther Kissmann1, Mauro Zamboni2, Andreia Salarini Monteiro3, Aureliano M. Cavalcanti de Sousa4, Marilene Nascimento5, Mauro Esteves6, Paulo de Biasi7, Deborah Cordeiro Lannes8,
Corresponding author
dclannes@oi.com.br

Endereço para correspondência: Dr.ª Deborah C. Lannes – Praça da Cruz Vermelha, 23 – CEP: 20230-130 – Centro – Rio de Janeiro – RJ – Brasil.
1 Médico Estagiário do Serviço de Cirurgia de Tórax – HC I – INCA/MS – Rio de Janeiro. Pós-Graduando em Pneumologia da Pontifícia Universidade Católica – PUC - Rio.
2 Pneumologista (TE SBPT) do Grupo de Oncologia Torácica do HC I – INCA/MS. Mestre em Pneumologia pela Universidade Federal Fluminense.
3 Pneumologista (TE SBPT) do Grupo de Oncologia Torácica – HC I – INA/MS.
4 Cirurgião de Tórax (TE SBCT) do Grupo de Oncologia Torácica do HC I – INCA/MS.
5 Patologista do INCA/MS.
6 Radiologista do INCA/MS.
7 Chefe do Serviço de Cirurgia de Tórax do HC I – INCA/MS. Cirurgião Torácico do Grupo de Oncologia Torácica do HC I – INCA/MS.
8 Pneumologista do Grupo de Oncologia Torácica – HC I – INCA/MS.
This item has received

Under a Creative Commons license
Article information
Resumo

Dentre as afecções pulmonares exógenas, a pneumonia lipóide (PL), causada pela broncoaspiração de lipídeos, é uma doença pouco diagnosticada. Ela resulta da reacção tipo corpo estranho que se segue à presença de material lipídico dentro do parênquima pulmonar. Em geral, o agente etiológico é o óleo mineral utilizado como agente laxativo. Doentes com histórico de constipação intestinal e uso crónico de óleo mineral, com tosse e dispneia, devem ser pesquisados quanto a esta doença. Apresentamos um caso de pneumonia lipóide associada ao uso de óleo mineral como agente laxativo, acentuamos as dificuldades relacionadas com a definição diagnóstica e revemos a literatura pertinente ao tema.

Rev Port Pneumol 2008; XIV (4): 545-549

Palavras-chave:
Pneumonia lipóide
óleo mineral
doenças pulmonares intersticiais
idoso
Abstract

Lipoid pneumonia (LP) is a pneumonitis resulting from the aspiration of lipids, and is commonly associated with the use of mineral oil as a laxative. LP is relatively unfamiliar to clinicians and is probably underdiagnosed. Making a diagnosis of LP requires a high degree of clinical suspicion. The aim of this publication are to present a case of a patient with LP and to increase physician awareness of LP, its diagnosis and prevention.

Rev Port Pneumol 2008; XIV (4): 545-549

Key-words:
Lipid pneumonia
mineral oil
interstitial lung diseases
aged
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Bibliografia
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Copyright © 2008. Sociedade Portuguesa de Pneumologia/SPP
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