Smoking-Related Diffuse Cystic Lung Disease

被引：12

作者：

Gupta, Nishant ^{[1
,2
]}

Colby, Thomas V. ^{[3
]}

Meyer, Cristopher A. ^{[4
]}

McCormack, Francis X. ^{[1
,2
]}

Wikenheiser-Brokamp, Kathryn A. ^{[5
,6
,7
]}

机构：

[1] Univ Cincinnati, Div Pulm Crit Care & Sleep Med, 231 Albert Sabin Way,MSB Room 6053,ML 0564, Cincinnati, OH 45267 USA

[2] Vet Affairs Med Ctr, Med Serv, Cincinnati, OH 45267 USA

[3] Mayo Clin Arizona, Dept Lab Med & Pathol, Scottsdale, AZ USA

[4] Univ Wisconsin, Dept Radiol, Sch Med & Publ Hlth, Madison, WI 53706 USA

[5] Cincinnati Childrens Hosp Med Ctr, Div Pulm Biol, Div Pathol & Lab Med, Cincinnati, OH 45229 USA

[6] Cincinnati Childrens Hosp Med Ctr, Div Pulm Biol, Perinatal Inst, Cincinnati, OH 45229 USA

[7] Univ Cincinnati, Dept Pathol & Lab Med, Cincinnati, OH USA

来源：

CHEST | 2018年 / 154卷 / 02期

关键词：

LYMPHANGIOLEIOMYOMATOSIS DIAGNOSIS; MANAGEMENT; GUIDELINES;

D O I：

10.1016/j.chest.2018.02.027

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Exposure to cigarette smoke can lead to a variety of parenchymal lung diseases, including diffuse cystic lung diseases (DCLDs). Lymphangioleiomyomatosis (LAM) is the prototypical DCLD and has a characteristic appearance on high-resolution CT (HRCT). We present a series of four patients with DCLD on HRCT who were referred to our institution with a presumed diagnosis of LAM and who were found instead to have smoking-related injury of the small airways on histopathological analysis. We submit that cigarette smoke-induced small airway injury can present as DCLD on HRCT in a pattern that can mimic LAM. A detailed history of cigarette smoke exposure should be obtained in patients presenting with DCLD, and imaging features should not be used in isolation to establish a firm diagnosis of LAM.

引用

页码：E31 / E35

页数：5

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