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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)
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Pneumonia lipóide
Lipoid pneumonia
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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: 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
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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.

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.

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