RESUMEN
We report the case of a 24-year-old man with a diagnosis of bronchiolitis obliterans, a rare clinical condition; the similarity to Ardystil syndrome was striking. Relevant occupational history included work in a textile air-brushing factory. Also noteworthy were lesions observed by CT scan in the form of cystic formations measuring less than 1 cm, a finding not previously described in the context of bronchiolitis obliterans. The patient improved immediately after starting corticoid treatment although scans failed to improve over several months of follow-up.
Asunto(s)
Bronquiolitis Obliterante/diagnóstico , Enfermedades Profesionales/diagnóstico , Adulto , Contaminantes Ocupacionales del Aire/efectos adversos , Bronquiolitis Obliterante/diagnóstico por imagen , Bronquiolitis Obliterante/patología , Diagnóstico Diferencial , Humanos , Masculino , Enfermedades Profesionales/diagnóstico por imagen , Enfermedades Profesionales/patología , Radiografía , Solventes/efectos adversos , Industria TextilAsunto(s)
Empiema Pleural/diagnóstico , Hepatomegalia/diagnóstico , Enfermedades de Niemann-Pick/diagnóstico , Esplenomegalia/diagnóstico , Médula Ósea/patología , Humanos , Masculino , Persona de Mediana Edad , Enfermedades de Niemann-Pick/diagnóstico por imagen , Enfermedades de Niemann-Pick/patología , Radiografía Torácica , Tomografía Computarizada por Rayos XAsunto(s)
Granuloma , Enfermedades Pulmonares , Adolescente , Adulto , Diagnóstico Diferencial , Femenino , Granuloma/diagnóstico , Granuloma/patología , Humanos , Pulmón/patología , Enfermedades Pulmonares/diagnóstico , Enfermedades Pulmonares/patología , Masculino , Tomografía Computarizada por Rayos XRESUMEN
Results and complications of 100 consecutive thoracoscopies performed with local anesthesia, in our department of pneumology are reviewed. The group is constituted by 60 men and 40 women with an average age of 56.1 +/- 16.7 years (13-81). Age difference between tumoral (n = 58) and tuberculous patients (n = 13) was statistically significant (59.6 +/- 12.8 vs 39.3 +/- 18.7; p < 0.001). The most frequent symptom on presentation was dyspnea, an significant association was detected between fever and tuberculosis (p < 0.001). Final diagnosis were: tumor (n = 58), non-specific inflammation (n = 16), tuberculosis (n = 13), pneumothorax (n = 11) and pneumonia (n = 2). In 14 patients some complication of the procedure appeared, all of these had little clinical significance and were resolved with minimal nursing care. To diagnose tumor, macroscopic aspect showed a sensitivity of 96.1%, specificity of 86% and 92% assurance.