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Pleuroparenchymal Fibroelastosis: A Case Report

Oumayma Haloui1, Fatima El Allam1, Ouiame Nabou1

  • 1Department of Respiratory Diseases, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Mohammed First University, Oujda, MAR.

Cureus
|October 19, 2022
PubMed

Insights

Pleuroparenchymal fibroelastosis (PPFE) is a rare lung disease. Radiological diagnosis is key, as symptoms like coughing may be overlooked, delaying treatment for this interstitial pneumonia.

Area of Science:

  • Pulmonology
  • Radiology

Background:

  • Pleuroparenchymal fibroelastosis (PPFE) is an uncommon idiopathic interstitial pneumonia.
  • Symptoms include dyspnea, dry cough, and chest pain potentially due to pneumothorax.

Observation:

  • A case of PPFE diagnosed via radiological findings in a 69-year-old male is presented.
  • Radiological hallmarks include apical fibrosis and pleural thickening of the apical lobes.

Findings:

  • Computed tomography (CT) scans are crucial for assessing PPFE, complementing histological evaluation.
  • PPFE can remain undiagnosed for extended periods, with patients potentially ignoring early symptoms like persistent coughing.

Implications:

  • This case underscores the importance of considering PPFE in differential diagnoses, especially with characteristic radiological findings.
  • Early recognition and diagnosis, even if radiological, are vital for managing PPFE and improving patient outcomes.
Keywords:
idiopathic interstitial pneumonialung biopsylung transplantationpleural thickeningpleuropulmonary elastosissubpleural fibrosis

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