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1.
Rev. méd. Chile ; 147(11): 1458-1467, nov. 2019. tab
Artigo em Espanhol | LILACS | ID: biblio-1094176

RESUMO

Interstitial lung diseases are a broad, diverse, challenging group of diseases, most of them chronic whose prognosis is not good. In the last two decades there have been considerable advances in the knowledge of the epidemiology, pathological and genetic bases and treatment of several of these diseases. This article summarizes and presents updated information about their classification, new knowledge on genetics and treatments in idiopathic pulmonary fibrosis, advances in the diagnosis and management of hypersensitivity pneumonitis and a review of the broad spectrum of interstitial diseases associated with connective tissue diseases. Several clinical trials are currently underway whose results will be available in the coming years and will provide more information and tools to improve the treatment of these patients.


Assuntos
Doenças Pulmonares Intersticiais/classificação , Doenças Pulmonares Intersticiais/diagnóstico , Prognóstico , Doenças do Tecido Conjuntivo/diagnóstico , Diagnóstico Diferencial , Fibrose Pulmonar Idiopática/diagnóstico , Alveolite Alérgica Extrínseca/diagnóstico
2.
Rev Med Chil ; 147(11): 1458-1467, 2019 Nov.
Artigo em Espanhol | MEDLINE | ID: mdl-32186607

RESUMO

Interstitial lung diseases are a broad, diverse, challenging group of diseases, most of them chronic whose prognosis is not good. In the last two decades there have been considerable advances in the knowledge of the epidemiology, pathological and genetic bases and treatment of several of these diseases. This article summarizes and presents updated information about their classification, new knowledge on genetics and treatments in idiopathic pulmonary fibrosis, advances in the diagnosis and management of hypersensitivity pneumonitis and a review of the broad spectrum of interstitial diseases associated with connective tissue diseases. Several clinical trials are currently underway whose results will be available in the coming years and will provide more information and tools to improve the treatment of these patients.


Assuntos
Doenças Pulmonares Intersticiais/classificação , Doenças Pulmonares Intersticiais/diagnóstico , Alveolite Alérgica Extrínseca/diagnóstico , Doenças do Tecido Conjuntivo/diagnóstico , Diagnóstico Diferencial , Fibrose Pulmonar Idiopática/diagnóstico , Prognóstico
3.
Rev. méd. Chile ; 145(11): 1495-1499, nov. 2017. graf
Artigo em Espanhol | LILACS | ID: biblio-902472

RESUMO

Lipoid pneumonia is an unusual cause of aspiration pneumonia with diverse radiologic manifestations. One of these are pulmonary nodules in which the main differential diagnosis is pulmonary carcinoma. We report an 85 years old male, an 85 years old female and a 34 years old male in whom percutaneous biopsies of suspicious nodules were compatible with lipoid pneumonia.


Assuntos
Humanos , Masculino , Feminino , Adulto , Idoso de 80 Anos ou mais , Pneumonia Lipoide/diagnóstico por imagem , Pneumonia Lipoide/patologia , Biópsia , Tomografia Computadorizada por Raios X
4.
Rev Med Chil ; 145(11): 1495-1499, 2017 Nov.
Artigo em Espanhol | MEDLINE | ID: mdl-29664534

RESUMO

Lipoid pneumonia is an unusual cause of aspiration pneumonia with diverse radiologic manifestations. One of these are pulmonary nodules in which the main differential diagnosis is pulmonary carcinoma. We report an 85 years old male, an 85 years old female and a 34 years old male in whom percutaneous biopsies of suspicious nodules were compatible with lipoid pneumonia.


Assuntos
Pneumonia Lipoide/diagnóstico por imagem , Adulto , Idoso de 80 Anos ou mais , Biópsia , Feminino , Humanos , Masculino , Pneumonia Lipoide/patologia , Tomografia Computadorizada por Raios X
5.
Rev. méd. Chile ; 141(12): 1584-1588, dic. 2013. ilus
Artigo em Espanhol | LILACS | ID: lil-705580

RESUMO

In renal transplants patients, metastatic pulmonary calcifications have been reported occasionally when the grafts are dysfunctional and rarely when they are functioning normally. We report a male who received a renal allograft in 1994 at the age of 61 years. Nineteen years later a routine chest X ray showed diffuse infiltrates and a CT scan showed diffuse calcifications in both lungs. These were interpreted as metastatic pulmonary calcifications. The last available laboratory determinations were a serum creatinine of 1.4 mg/dl and urinary protein excretion of 255 mg/24 hours. No further studies were done since the patient experienced a sudden death due to an acute myocardial infarction.


Assuntos
Idoso de 80 Anos ou mais , Humanos , Masculino , Calcinose/etiologia , Transplante de Rim/efeitos adversos , Pneumopatias/etiologia , Calcinose/diagnóstico , Creatinina/sangue , Evolução Fatal , Pneumopatias/diagnóstico , Proteinúria/sangue , Insuficiência Renal Crônica/complicações , Insuficiência Renal Crônica/cirurgia , Tomografia Computadorizada por Raios X , Transplante Homólogo/efeitos adversos
6.
Rev Med Chil ; 141(12): 1589-53, 2013 Dec.
Artigo em Espanhol | MEDLINE | ID: mdl-24728438

RESUMO

In renal transplants patients, metastatic pulmonary calcifications have been reported occasionally when the grafts are dysfunctional and rarely when they are functioning normally. We report a male who received a renal allograft in 1994 at the age of 61 years. Nineteen years later a routine chest X ray showed diffuse infiltrates and a CT scan showed diffuse calcifications in both lungs. These were interpreted as metastatic pulmonary calcifications. The last available laboratory determinations were a serum creatinine of 1.4 mg/dl and urinary protein excretion of 255 mg/24 hours. No further studies were done since the patient experienced a sudden death due to an acute myocardial infarction.


Assuntos
Calcinose/etiologia , Transplante de Rim/efeitos adversos , Pneumopatias/etiologia , Idoso de 80 Anos ou mais , Calcinose/diagnóstico , Creatinina/sangue , Evolução Fatal , Humanos , Pneumopatias/diagnóstico , Masculino , Proteinúria/sangue , Insuficiência Renal Crônica/complicações , Insuficiência Renal Crônica/cirurgia , Tomografia Computadorizada por Raios X , Transplante Homólogo/efeitos adversos
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