ISSN 0718-0918
Vol 13, N° 1, Abril 2016
 

Casos Clínicos

 

Neumonía lipoidea tras aspiración accidental de vaselina

Francisca Herrera(1,2), Cathia Selman(1,2), Sebastián Chávez(1,2), Dra. Fabiola Castro(3)
1 Licenciado en Medicina, Universidad de Chile
2 Interno de Medicina, Universidad de Chile
3 Pediatra. Depto. Pediatría y Cirugía Infantil, Facultad de Medicina, Universidad de Chile

Abstract

Abstract

Lipoid pneumonia (LN) is an unknown lung disease due to lipid accumulation, of endogenous or exogenous origin, at the pulmonary alveolar level. Often it is underdiagnosed because of its nonespecific presentation whose differential diagnosis are other bronchopulmonary diseases. Anamnestic data, either recent or long-standing use of the intake and / or accidental or deliberate inhalation of any substance containing a lipid component as its base is relevant information. Extreme age groups are the most affected, and in whom we must suspect LN diagnosis. The diagnosis of LN is complex and requires a  complete medical history, images that support lung involvement (preferably computed tomography), and ideally intraalveolar detection of lipid-laden macrophages in the bronchoalveolar lavage. Currently, there is no consensus on the specific management of this disease. It is important to identify the cause and discontinue its exposure. Whatever the varity of the  clinical presentation, support magement is recommended to treat LN.

 

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ISSN 0718-0918