RESUMO
We report the case of a 24-year-old man with a diagnosis of bronchiolitis obliterans, a rare clinical condition; the similarity to Ardystil syndrome was striking. Relevant occupational history included work in a textile air-brushing factory. Also noteworthy were lesions observed by CT scan in the form of cystic formations measuring less than 1 cm, a finding not previously described in the context of bronchiolitis obliterans. The patient improved immediately after starting corticoid treatment although scans failed to improve over several months of follow-up.
Assuntos
Bronquiolite Obliterante/diagnóstico , Doenças Profissionais/diagnóstico , Adulto , Poluentes Ocupacionais do Ar/efeitos adversos , Bronquiolite Obliterante/diagnóstico por imagem , Bronquiolite Obliterante/patologia , Diagnóstico Diferencial , Humanos , Masculino , Doenças Profissionais/diagnóstico por imagem , Doenças Profissionais/patologia , Radiografia , Solventes/efeitos adversos , Indústria TêxtilAssuntos
Empiema Pleural/diagnóstico , Hepatomegalia/diagnóstico , Doenças de Niemann-Pick/diagnóstico , Esplenomegalia/diagnóstico , Medula Óssea/patologia , Humanos , Masculino , Pessoa de Meia-Idade , Doenças de Niemann-Pick/diagnóstico por imagem , Doenças de Niemann-Pick/patologia , Radiografia Torácica , Tomografia Computadorizada por Raios XRESUMO
Results and complications of 100 consecutive thoracoscopies performed with local anesthesia, in our department of pneumology are reviewed. The group is constituted by 60 men and 40 women with an average age of 56.1 +/- 16.7 years (13-81). Age difference between tumoral (n = 58) and tuberculous patients (n = 13) was statistically significant (59.6 +/- 12.8 vs 39.3 +/- 18.7; p < 0.001). The most frequent symptom on presentation was dyspnea, an significant association was detected between fever and tuberculosis (p < 0.001). Final diagnosis were: tumor (n = 58), non-specific inflammation (n = 16), tuberculosis (n = 13), pneumothorax (n = 11) and pneumonia (n = 2). In 14 patients some complication of the procedure appeared, all of these had little clinical significance and were resolved with minimal nursing care. To diagnose tumor, macroscopic aspect showed a sensitivity of 96.1%, specificity of 86% and 92% assurance.