[Descamative interstitial pneumonia in a patient with undifferentiated connective-tissue disease].
Identifieur interne : 003F87 ( Main/Exploration ); précédent : 003F86; suivant : 003F88[Descamative interstitial pneumonia in a patient with undifferentiated connective-tissue disease].
Auteurs : Helder N. Bastos ; Luzia Sampaio ; Patrícia Mota ; Rui Cunha ; Joana Pardal ; Conceição Souto Moura ; Ant Nio MoraisSource :
- Acta reumatologica portuguesa [ 0303-464X ]
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- complications : Connective Tissue Diseases.
- etiology : Lung Diseases, Interstitial.
- Humans, Male, Middle Aged.
Abstract
A 49 year-old Caucasian male, smoker (15 pack-year), had at the beginning of his disease an additive, symmetric polyarthritis, affecting predominantly the small joints of the hands, wrists, shoulders and tibiotarsal joints. The autoimmune study revealed ANA and anti-ribosomal P protein antibodies positivity. An undifferentiated connective tissue disease was diagnosed and treatment with deflazacort, naproxen and hydroxychloroquine was begun. Two years later, he starts exertional dyspnea, without other respiratory symptoms. A chest high-resolution computerized tomography scan was performed, evidencing diffuse "ground-glass" opacities. Respiratory functional study showed low diffusion capacity. The bronchoalveolar lavage (BAL) revealed a neutrophilic and eosinophilic (20%) alveolitis, which was not associated with peripheral blood eosinophilia. The definitive diagnosis was obtained by a surgical lung biopsy, which showed features consistent with Descamative Interstitial Pneumonia (DIP). This rare entity is referred as a smoke-related disease. The debate about an eventual association of DIP with autoimmune diseases and BAL eosinophilia is discussed by the authors based on the present clinical case features.
PubMed: 24126429
Affiliations:
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Bastos</name></author><author><name sortKey="Sampaio, Luzia" sort="Sampaio, Luzia" uniqKey="Sampaio L" first="Luzia" last="Sampaio">Luzia Sampaio</name></author><author><name sortKey="Mota, Patricia" sort="Mota, Patricia" uniqKey="Mota P" first="Patrícia" last="Mota">Patrícia Mota</name></author><author><name sortKey="Cunha, Rui" sort="Cunha, Rui" uniqKey="Cunha R" first="Rui" last="Cunha">Rui Cunha</name></author><author><name sortKey="Pardal, Joana" sort="Pardal, Joana" uniqKey="Pardal J" first="Joana" last="Pardal">Joana Pardal</name></author><author><name sortKey="Moura, Conceicao Souto" sort="Moura, Conceicao Souto" uniqKey="Moura C" first="Conceição Souto" last="Moura">Conceição Souto Moura</name></author><author><name sortKey="Morais, Ant Nio" sort="Morais, Ant Nio" uniqKey="Morais A" first="Ant Nio" last="Morais">Ant Nio Morais</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="????"><PubDate><MedlineDate>2012 Oct-Dec</MedlineDate></PubDate></date><idno type="RBID">pubmed:24126429</idno><idno type="pmid">24126429</idno><idno type="wicri:Area/PubMed/Corpus">000321</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000321</idno><idno type="wicri:Area/PubMed/Curation">000321</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000321</idno><idno type="wicri:Area/PubMed/Checkpoint">000674</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000674</idno><idno type="wicri:Area/Ncbi/Merge">000218</idno><idno type="wicri:Area/Ncbi/Curation">000218</idno><idno type="wicri:Area/Ncbi/Checkpoint">000218</idno><idno type="wicri:doubleKey">0303-464X::Bastos H:descamative:interstitial:pneumonia</idno><idno type="wicri:Area/Main/Merge">004075</idno><idno type="wicri:Area/Main/Curation">003F87</idno><idno type="wicri:Area/Main/Exploration">003F87</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">[Descamative interstitial pneumonia in a patient with undifferentiated connective-tissue disease].</title><author><name sortKey="Bastos, Helder N" sort="Bastos, Helder N" uniqKey="Bastos H" first="Helder N" last="Bastos">Helder N. Bastos</name></author><author><name sortKey="Sampaio, Luzia" sort="Sampaio, Luzia" uniqKey="Sampaio L" first="Luzia" last="Sampaio">Luzia Sampaio</name></author><author><name sortKey="Mota, Patricia" sort="Mota, Patricia" uniqKey="Mota P" first="Patrícia" last="Mota">Patrícia Mota</name></author><author><name sortKey="Cunha, Rui" sort="Cunha, Rui" uniqKey="Cunha R" first="Rui" last="Cunha">Rui Cunha</name></author><author><name sortKey="Pardal, Joana" sort="Pardal, Joana" uniqKey="Pardal J" first="Joana" last="Pardal">Joana Pardal</name></author><author><name sortKey="Moura, Conceicao Souto" sort="Moura, Conceicao Souto" uniqKey="Moura C" first="Conceição Souto" last="Moura">Conceição Souto Moura</name></author><author><name sortKey="Morais, Ant Nio" sort="Morais, Ant Nio" uniqKey="Morais A" first="Ant Nio" last="Morais">Ant Nio Morais</name></author></analytic><series><title level="j">Acta reumatologica portuguesa</title><idno type="ISSN">0303-464X</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Connective Tissue Diseases (complications)</term><term>Humans</term><term>Lung Diseases, Interstitial (etiology)</term><term>Male</term><term>Middle Aged</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Humains</term><term>Maladies du tissu conjonctif ()</term><term>Mâle</term><term>Pneumopathies interstitielles (étiologie)</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Connective Tissue Diseases</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lung Diseases, Interstitial</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Pneumopathies interstitielles</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Humans</term><term>Male</term><term>Middle Aged</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Humains</term><term>Maladies du tissu conjonctif</term><term>Mâle</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">A 49 year-old Caucasian male, smoker (15 pack-year), had at the beginning of his disease an additive, symmetric polyarthritis, affecting predominantly the small joints of the hands, wrists, shoulders and tibiotarsal joints. The autoimmune study revealed ANA and anti-ribosomal P protein antibodies positivity. An undifferentiated connective tissue disease was diagnosed and treatment with deflazacort, naproxen and hydroxychloroquine was begun. Two years later, he starts exertional dyspnea, without other respiratory symptoms. A chest high-resolution computerized tomography scan was performed, evidencing diffuse "ground-glass" opacities. Respiratory functional study showed low diffusion capacity. The bronchoalveolar lavage (BAL) revealed a neutrophilic and eosinophilic (20%) alveolitis, which was not associated with peripheral blood eosinophilia. The definitive diagnosis was obtained by a surgical lung biopsy, which showed features consistent with Descamative Interstitial Pneumonia (DIP). This rare entity is referred as a smoke-related disease. The debate about an eventual association of DIP with autoimmune diseases and BAL eosinophilia is discussed by the authors based on the present clinical case features. </div></front></TEI><affiliations><list></list><tree><noCountry><name sortKey="Bastos, Helder N" sort="Bastos, Helder N" uniqKey="Bastos H" first="Helder N" last="Bastos">Helder N. Bastos</name><name sortKey="Cunha, Rui" sort="Cunha, Rui" uniqKey="Cunha R" first="Rui" last="Cunha">Rui Cunha</name><name sortKey="Morais, Ant Nio" sort="Morais, Ant Nio" uniqKey="Morais A" first="Ant Nio" last="Morais">Ant Nio Morais</name><name sortKey="Mota, Patricia" sort="Mota, Patricia" uniqKey="Mota P" first="Patrícia" last="Mota">Patrícia Mota</name><name sortKey="Moura, Conceicao Souto" sort="Moura, Conceicao Souto" uniqKey="Moura C" first="Conceição Souto" last="Moura">Conceição Souto Moura</name><name sortKey="Pardal, Joana" sort="Pardal, Joana" uniqKey="Pardal J" first="Joana" last="Pardal">Joana Pardal</name><name sortKey="Sampaio, Luzia" sort="Sampaio, Luzia" uniqKey="Sampaio L" first="Luzia" last="Sampaio">Luzia Sampaio</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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