Exogenous lipoid pneumonia and anorexia nervosa: a case report

Authors

  • J. Rodríguez Sanz Servicio de Neumología. Hospital Universitario Miguel Servet. Zaragoza. España.
  • A. Arellano Alvarez Servicio de Anatomía Patológica. Hospital Universitario Miguel Servet. Zaragoza. España.
  • L. Ferrando Lamana Servicio de Anatomía Patológica. Hospital Universitario Miguel Servet. Zaragoza. España.
  • T. Martín Carpi Servicio de Neumología. Hospital Universitario Miguel Servet. Zaragoza. España.

DOI:

https://doi.org/10.23938/ASSN.1007

Keywords:

Lipid pneumonia, Anorexia nervosa, Bronchoscopy, Pulmonary medicine

Abstract

Exogenous lipoid pneumonia is a rare entity with non-specific clinical presentation. Early diagnosis is key to prevent pulmonary fibrosis in cases of chronic exogenous lipoid pneumonia .

Here, we present the diagnostic process in a 51-year-old female with chronic cough and yellow sputum, no fever nor signs of infection. The computerized axial tomography scan showed alveolar infiltrates in both lungs. We performed a bronchoalveolar lavage and collected a yellowish material, but no clear result were obtained from its analysis. Cryobiopsy of lung tissue was key for the diagnosis of exogenous lipoid pneumonia . This may be related to the chronic anorexia nervosa that the patient suffers, associated with purgative habits.

After identifying the cause of the symptoms, the patient is recovering, changing her habits, and has no cough nor sputum.

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References

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Betancourt SL, Martinez-Jimenez S, Rossi SE, Truong MT, Carrillo J, Erasmus JJ. Lipoid pneumo nia: Spectrum of clinical and radiologic manifestations. AJR Am J Roentgenol 2010; 194: 103-109. https://doi. org/10.2214/AJR.09.3040

Kessler AC, Dommann C, Nussbaumer-Ochsner Y. E-pipe use leading to lipoid pneumonia in Europe. Tho rax 2020; 75: 1026-1027. https://doi.org/10.1136/thorax jnl-2019-214391

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Cozzi D, Bindi A, Cavigli E, Grosso AM, Luvarà S, Morelli N et al. Exogenous lipoid pneumonia: when radiologist makes the difference. Radiol Med 2021; 126: 22-28. Available from: https://doi.org/10.1007/s11547- 020-01230-x

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Published

2022-08-16

How to Cite

Rodríguez Sanz, J., Arellano Alvarez, A., Ferrando Lamana, L., & Martín Carpi, T. (2022). Exogenous lipoid pneumonia and anorexia nervosa: a case report. Anales Del Sistema Sanitario De Navarra, 45(2), e1007. https://doi.org/10.23938/ASSN.1007

Issue

Vol. 45 No. 2 (2022): May - August 2022

Section

Clinical notes

License

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This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

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