Exogenous lipoid pneumonia following ingestion of liquid paraffin

被引：10

作者：

Ohwada, A ^{[1
]}

Yoshioka, Y ^{[1
]}

Shimanuki, Y ^{[1
]}

Mitani, K ^{[1
]}

Kumasaka, T ^{[1
]}

Dambara, T ^{[1
]}

Fukuchi, Y ^{[1
]}

机构：

[1] Juntendo Univ, Sch Med, Dept Resp Med, Bunkyo Ku, Tokyo 1138421, Japan

来源：

INTERNAL MEDICINE | 2002年 / 41卷 / 06期

关键词：

lipid-laden alveolar macrophages; aspiration;

D O I：

10.2169/internalmedicine.41.483

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

An asymptomatic patient with exogenous lipoid pneumonia (ELP) due to silent aspiration of liquid paraffin ingested as a lubricant was diagnosed by bronchoalveolar lavage (BAL). BAL fluid separated into oily upper phase and lower aqueous phase spontaneously. Microscopic analysis of BAL cells revealed the presence of lipid-laden alveolar macrophages. Classic histochemical staining and electron microscope examination indicated that neutral lipid was dominant but phospholipid was also present in the lipid-laden macrophages. Together with the history of ingestion of liquid paraffin, we identified that the ingested liquid paraffin was the origin of the neutral lipid in the lipid-laden macrophages observed in the BAL fluid.

引用

页码：483 / 486

页数：4

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