Lipoid pneumonia secondary to long-term use of evening primrose oil

Marcelo Fouad Rabahi1, Andreia Alves Ferreira, João Gabriel Piccirilli Madeira

  • 1Department of Clinical Medicine, Federal University of Goiás School of Medicine, Goiânia, Brazil. mfrabahi@terra.com.br

Insights

Lipoid pneumonia, a lung disease from aspirating lipids, can be caused by substances like evening primrose oil. Discontinuing the offending agent improved a patient's persistent cough.

Area of Science:

  • Pulmonology
  • Toxicology

Background:

  • Lipoid pneumonia is an underdiagnosed lung condition resulting from the aspiration of lipid particles.
  • While mineral oil laxatives are a common cause, other lipid substances can also induce this disease.

Observation:

  • A 50-year-old female presented with a persistent productive cough, initially misdiagnosed as bronchial hyperresponsiveness and GERD.
  • Despite treatment for GERD, the cough continued, prompting further investigation.

Findings:

  • Diagnostic procedures including chest CT, bronchoscopy, and lung biopsy confirmed lipoid pneumonia.
  • The patient reported chronic use of evening primrose oil, identified as the causative agent.

Implications:

  • This case highlights evening primrose oil as a potential cause of lipoid pneumonia.
  • Discontinuation of the lipid substance, alongside continued GERD management, led to clinical improvement, underscoring the importance of thorough patient history.

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