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Vol. 25. Issue 1.
Pages 28-30 (January - February 1989)
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Vol. 25. Issue 1.
Pages 28-30 (January - February 1989)
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Neumonia lipoidea aspirativa
Lipoid aspiration pneumonia
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S. Romero Candeira, C. Martín Serrano, M. Palau Benavent, J. Tobías Ferrer, I. Aranda López, E. Escortell Mayor
Sección de Neumología (Servicio de Medicina Interna) y Servicio de Anatomía Patológica. Hospital de Alicante (S V S). Facultad de Medicina. Alicante
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La neumonía lipoidea aspirativa es una entidad referida infrecuentemente en la literatura actual y probablemente infradiagnosticada. Durante los tres últimos años se han diagnosticado en nuestra sección cuatro pacientes con neumonía lipoidea secundaria al uso prolongado de medicación tópica, con contenido graso, sobre vías aéreas superiores.

Las dificultades para su diagnóstico se derivan de la falta de expresión del contenido graso en muchos preparados tópicos, antiinflamatorios y vasoconstrictores, del aspecto radiológico del proceso, que puede simular al del carcinoma broncogénico y de la posibilidad que los cambios citológicos provocados por el aceite mineral aspirado se confundan con los de un proceso maligno.

Todos los casos aquí comunicados fueron confirmados histológicamente, siendo la biopsia transbronquial la que aportó la muestra diagnóstica en tres de ellos.

Lipoid aspiration pneumonia is an infrequently reported entity in relevant current literature which probably is underdiagnosed. During the last 3 years, four patients with lipoid aspiration pneumonia secondary to prolonged use of topical medication with oily content on upper airways have been diagnosed at our Section.

The diagnostic difficulties are derived from the lack of specification of the oily content in many topical preparations, such as vasoconstrictor and anti-inflammatory agents, from the radiologic appearance of the process, which may mimick a broncogenic carcinoma, and from the possibility of the cytologic changes caused by the mineral oil are mistaken for those caused by a malignant process.

All the cases we report were histologically confirmed, being the transbronchial biopsy the method which yielded the diagnostic sample in three of them.

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Copyright © 1989. Sociedad Española de Neumología y Cirugía Torácica
Archivos de Bronconeumología
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