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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
Abstract:
Lipoid pneumonia is an underdiagnosed disease that is caused by the aspiration of lipid particles into the lungs. Although most of the reported cases have been associated with the use of mineral oil as a laxative, other lipid substances can also cause the disease. We report the case of a 50-year-old female patient with a complaint of productive cough who was initially diagnosed with bronchial hyperresponsiveness and gastroesophageal reflux disease (GERD). The patient was treated for GERD. Because the productive cough persisted, the patient underwent chest CT, fiberoptic bronchoscopy, and open lung biopsy. She was diagnosed with lipoid pneumonia. The patient was questioned regarding the use of lipid substances, and she reported the chronic use of evening primrose oil. After the discontinuation of the substance and the maintenance of GERD treatment, her condition improved.
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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