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Ther Umsch ; 81(1): 16-20, 2024 Feb.
Article in German | MEDLINE | ID: mdl-38655829

ABSTRACT

INTRODUCTION: Diffuse cystic lung disease (DCLD) represents a heterogeneous group of conditions, typically characterized by the presence of multiple thin-walled, predominantly round parenchymal lucencies. The increased accessibility of computed tomography (CT) underscores the growing relevance of a relatively rare group of diseases as more clinicians are confronted with the presence of multiple lung cysts on the chest CT scan. Although the etiology of these conditions is very diverse, the focus of the differential diagnosis revolves around four primary causative factors - Lymphangioleiomyomatosis (LAM), Pulmonary Langerhanscell histiocytosis (PLCH), Birt-Hogg-Dubé (BHD) and lymphoid interstitial pneumonia (LIP). Achieving an accurate diagnosis poses a challenge and typically necessitates lung biopsies; however, it is crucial for ensuring proper management.


Subject(s)
Tomography, X-Ray Computed , Humans , Diagnosis, Differential , Lymphangioleiomyomatosis/diagnosis , Lymphangioleiomyomatosis/therapy , Histiocytosis, Langerhans-Cell/diagnosis , Lung Diseases, Interstitial/diagnosis , Lung Diseases, Interstitial/diagnostic imaging , Lung Diseases, Interstitial/etiology , Lung/diagnostic imaging , Lung/pathology , Biopsy , Birt-Hogg-Dube Syndrome/diagnosis , Birt-Hogg-Dube Syndrome/complications , Lung Diseases/diagnostic imaging , Lung Diseases/diagnosis , Cysts/diagnosis , Cysts/diagnostic imaging
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