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Radiological and Clinical Findings in Acute and Chronic Exogenous Lipoid Pneumonia

Radiological and Clinical Findings in Acute and Chronic Exogenous Lipoid Pneumonia,10.1097/00005382-200310000-00002,Journal of Thoracic Imaging,Shira

Radiological and Clinical Findings in Acute and Chronic Exogenous Lipoid Pneumonia   (Citations: 21)
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Journal: Journal of Thoracic Imaging - J THORAC IMAG , vol. 18, no. 4, pp. 217-224, 2003
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    • ...Most cases of exogenous lipoid pneumonia result from aspiration of mineral oil, which is usually used for the treatment of refractory constipation [11, 12]...
    • ...These mineral oil substances can easily and silently enter the tracheobronchial tree without stimulating glottic closure or the cough reflex, and, once there, are expelled with difficulty because they impair the mucociliary transport system [3, 4, 11]...
    • ...Those with increased risk of exogenous lipoid pneumonia include neonates, older patients, and those with any underlying swallowing dysfunction such as achalasia, esophageal diverticulum, hiatal hernia, reflux, and neuromuscular disorders of the pharynx and esophagus [1, 3, 8, 11]...
    • ...However, in some patients with lipoid pneumonia, fat attenuation is not evident on CT images because the fat attenuation values are averaged with the surrounding inflammatory exudates [1, 2, 11, 12, 14]...
    • ...The animal oils, on the other hand, tend to provoke severe inflammatory reactions [8, 11, 13]...
    • ...Baron et al. [11] reported the high-resolution CT findings in 15 patients with lipoid pneumonia caused by the aspiration of several materials...

    Gláucia Zanettiet al. Lipoid pneumonia in children following aspiration of mineral oil used ...

    • ...Olguların %50’si sessizdir ve akciğer grafisiyle tanı konabilir (1-5)...
    • ...Neden olan ajan alımının sonlandırılması tedavinin en önemli parçasıdır (5)...
    • ...Akciğerden aspire edilen sıvının geri alınmaya çalışılması yararlı değildir (5)...
    • ...En sık gelişen komplikasyon bakteriyel, fungal ya da mikobakteriyel süperinfeksiyondur (5)...
    • ...Hastaneye getirilen hastalarda ne yazık ki %11 oranında ölüm görülebilir (5)...

    Tülay KARAKOÇet al. Hidrokarbon Aspirasyonuna Bağli Lipoid Pnömoni Olgusu

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