A Case of Lipoid Pneumonia Induced by Aspiration of Shark Liver Oil

상어 간유 흡인에 의한 지방성 폐렴 1예

  • Lee, Jin-Suk (Department of Internal Medicine, Korea Veterans Hospital) ;
  • Ju, Hong-Don (Department of Internal Medicine, Korea Veterans Hospital) ;
  • Han, Chang-Wan (Department of Internal Medicine, Korea Veterans Hospital) ;
  • Lee, Gwi-Lae (Department of Internal Medicine, Korea Veterans Hospital) ;
  • Cho, Yung-Sam (Department of Internal Medicine, Korea Veterans Hospital) ;
  • Park, Un-Slk (Department of Internal Medicine, Korea Veterans Hospital) ;
  • Jeong, Dong-Seong (Department of Internal Medicine, Korea Veterans Hospital) ;
  • Han, Jong-Hak (Department of Internal Medicine, Korea Veterans Hospital) ;
  • Kim, Jae-Hong (Department of Internal Medicine, Korea Veterans Hospital) ;
  • Son, Yong-Woo (Department of Internal Medicine, Korea Veterans Hospital) ;
  • Roh, Yong-Ho (Department of Internal Medicine, Korea Veterans Hospital) ;
  • Kim, Jeong-Lae (Department of Pathology, Korea Veterans Hospital)
  • Published : 1994.12.31

Abstract

Lipoid pneumonia is a chronic inflammatory reaction of the lungs that results from the aspiration of vegetable, animal, or mineral oils. The most frequently implicated agent is mineral oil used as a laxative and to reduce dysphagia. Lipoid pneumonia is suggested when there is a history of chronic oral or intranasal use of an oil- or lipid-based product. The characteristic findings of lipid materials in CT or MRI are used in the diagnosis of lipoid pneumonia. The presence of lipid-laden macrophages in the sputum, bronchoalveolar larvage or pulmonary parenchymal biopsy confirms the diagnosis. Sputum study is simple and inexpensive. We report a case of lipoid pneumonia of 75 year old male with cough and sputum, confirmed by sputum study, and review the literature.

본 저자들은 스쿠알렌(Shark liver oil)을 반복적으로 사용한 75세 남자 환자에서 방사선 소견과 객담 검사로 진단한 지방성 폐렴 1예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

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