RESUMO
La antracofibrosis es una estenosis bronquial debida a una fibrosis mucosa local que presenta además una mucosa con pigmento antracótico. La causa no está bien aclarada, y se da una frecuente asociación con la tuberculosis y la exposición a humos de combustión de biocombustibles (o biomasa). Se trata de una entidad no descrita en España, aunque la afluencia de personas originarias de zonas rurales de países en desarrollo o de zonas rurales de nuestro medio debe hacernos tener presente esta entidad en el diagnóstico diferencial de nuestros pacientes. Se presentan 3 casos detectados en España (2 de ellos autóctonos) diagnosticados mediante broncoscopia y biopsia bronquial, técnicas necesarias para su confirmación. No hay tratamiento específico, salvo el tuberculostático en el caso de coexistencia de ambas entidades(AU)
Anthracofibrosis is a bronchial stenosis due to local mucosal fibrosis that also presents anthracotic pigment in the mucosa. The cause has not been well clarified, although there is a frequent association with tuberculosis and the exposure to smoke from biofuel or biomass combustion. It is an entity that has not been reported in Spain, although the influx of people from rural areas of developing countries or rural areas of our own country should make us contemplate this entity in the differential diagnosis of our patients. We present 3 cases detected in Spain (2 of them natives) diagnosed by bronchoscopy and bronchial biopsy, which are techniques necessary to confirm the diagnosis. There is no specific treatment, except for tuberculostatic treatment in cases with coexisting tuberculosis(AU)
Assuntos
Humanos , Pneumoconiose , Antracose/complicações , Antracose/diagnóstico , Lesão por Inalação de Fumaça/diagnóstico , Lesão por Inalação de Fumaça , Constrição Patológica/diagnóstico , Broncoscopia , Antracose , Tomografia , Haemophilus influenzae , Mycobacterium tuberculosis/patogenicidadeRESUMO
Anthracofibrosis is a bronchial stenosis due to local mucosal fibrosis that also presents anthracotic pigment in the mucosa. The cause has not been well clarified, although there is a frequent association with tuberculosis and the exposure to smoke from biofuel or biomass combustion. It is an entity that has not been reported in Spain, although the influx of people from rural areas of developing countries or rural areas of our own country should make us contemplate this entity in the differential diagnosis of our patients. We present 3 cases detected in Spain (2 of them natives) diagnosed by bronchoscopy and bronchial biopsy, which are techniques necessary to confirm the diagnosis. There is no specific treatment, except for tuberculostatic treatment in cases with coexisting tuberculosis.
