ABSTRACT
Idiopathic pulmonary ossification is a rare disease. Most commonly, it affects middle-aged men. Its etiology is unknown. We present a case of nodular type idiopathic pulmonary ossification in a 42-year-old, white male who had one episode of hemoptysis.
Subject(s)
Lung Diseases/pathology , Ossification, Heterotopic/pathology , Adult , Humans , Lung Diseases/diagnostic imaging , Male , Ossification, Heterotopic/diagnostic imaging , Tomography, X-Ray ComputedABSTRACT
This article describes the case of a 55-year-old white male with olivopontocerebellar atrophy who was admitted to the ICU at Ohio Valley Medical Center because of recurrent respiratory failure. He had to remain in the ICU for 21 days on a ventilator even though he was hemodynamically stable with no evidence of pneumonia. A tracheostomy was then performed and within five days he was able to be weaned from the ventilator and transferred to a long-term care facility. This case suggests that early tracheostomy may play an important role in acute and long-term management in patients with olivopontocerebellar atrophy.
Subject(s)
Olivopontocerebellar Atrophies/complications , Respiratory Insufficiency/therapy , Carbon Dioxide/blood , Humans , Hydrogen-Ion Concentration , Intensive Care Units , Male , Middle Aged , Oxygen/blood , Recurrence , Respiration, Artificial , Respiratory Function Tests , Respiratory Insufficiency/etiology , Respiratory Insufficiency/physiopathology , Time FactorsABSTRACT
Lymphangioleiomyomatosis (LAM) is defined as an abnormal proliferation of smooth muscles around lymphatics, venules, and brochioles. This article describes our experiences treating a 21-year-old, white female who experienced recurrent shortness of breath during air travel last year. Her episode was severe and the patient was transported to the hospital as soon as the airplane landed. Physical exam in the emergency room was significant for absent breath sounds on the right side and the chest X-ray revealed a pneumothorax. She required two chest tubes for complete lung re-expansion. Further evaluation showed an obstructive pattern and air trapping on pulmonary function tests. This patient was treated with Medroxyprogesterone acetate (MPA) for six months and subsequent pulmonary function tests revealed improvement in her condition.
