Neumonía intersticial no específica: Características clínicas y epidemiológicas / Nonspecific intersticial pneumonia: epidemiologic and clinical characteristics
Med. clín (Ed. impr.)
; 126(2): 47-52, ene. 2006. ilus, tab
Artigo
em Es
| IBECS
| ID: ibc-042263
Biblioteca responsável:
ES1.1
Localização: ES1.1 - BNCS
RESUMEN
Fundamento y objetivo:
Estudiar a pacientes diagnosticados de neumonía intersticial no específica (NINE) en 2 hospitales de Barcelona prestando especial atención al papel etiológico del tabaco, los factores ambientales y/o ocupacionales y el consumo previo de medicamentos. Pacientes ymétodo:
Se han seguido los criterios diagnósticos establecidos por el consenso de la American Thoracic Society/European Respiratory Society. Se ha incluido a 16 pacientes 10 varones (65%) y 6 mujeres (35%), todos diagnosticados de NINE por biopsia pulmonar quirúrgica. Se recogió información sobre antecedentes patológicos, contacto con aves y/o con tóxicos, ingesta de medicamentos y hábito tabáquico. Se estudiaron los síntomas y signos de presentación, pruebas analíticas, de función respiratoria, radiografía de tórax y tomografía computarizada de alta resolución torácica, estudio fibrobroncoscópico, que incluyó lavado broncoalveolar y biopsia transbronquial, y por último biopsia pulmonar quirúrgica.Resultados:
Diez pacientes (100%) varones y una mujer (12%) eran fumadores, 4 en activo y 7 ex fumadores; 8 (80%) tenían NINE fibrótica y 3 (50%), NINE celular. Tomaban algún medicamento 9 pacientes (56%), 5 de ellos algún tipo de antiinflamatorio no estroideo. Se presenta un caso clínico de NINE relacionado con el consumo inicial de ibuprofeno y posteriormente de celecoxib. Se evidenció contacto crónico con lejías, detergentes, amoníaco y productos clorados en 6 pacientes y con productos manufacturados del plástico y, en concreto, inhalación de isocianatos, en 3 pacientes.Conclusiones:
Se describe una posible relación del tabaco y/o del consumo previo de medicamentos en el desarrollo de la NINE. Se requieren estudios para aclarar el posible papel de los productos de limpieza, isocianatos y otras sustancias de carácter ocupacionalABSTRACT
Background and objectives:
Patients diagnosed with non-specific interstitial pneumonia (NSIP) in 2 hospitals in Barcelona, Spain, were studied to investigate the factors that could contribute to the etiology of disease. Patients andmethod:
The consensus diagnostic criteria established by the American Thoracic Society/European Respiratory Society were followed. The study included 16 patients, 10 men (65%) and 6 women (35%), all diagnosed with NSIP by open lung biopsy. Patients were questioned on pathological history, occupational or environmental exposure, medicinal drug use, contact with birds, and relationship with smoking. In addition, were recorded symptoms and physical signs, laboratory and respiratory function results, chest X-ray and computerized tomography scan features, fiberbronchoscopy findings and open lung biopsy findings.Results:
Eleven patients (69%) 10 men (100%) and one woman (12%) were smokers 4 were active and 7 former smokers; 8 (80%) patients had fibrotic NSIP and three (50%) had cellular NSIP. Nine (56%) patients had a medication history, and 5 received chronic non-steroideal anti-inflammatory drug treatment. Occupational exposure to bleach, detergents, and ammonia or chloride products was documented in 6 cases. Three patients had contact with manufactured plastic products and isocyanate inhalation.Conclusions:
Smoking and medication use were prevalent in NSIP patients. Ibuprofen and celecoxib clearly provoked symptoms in one NSIP patient. Further studies are required to clarify the role of detergents, isocyanates and other occupation-related substances as triggering factors
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Coleções:
Bases de dados nacionais
/
Espanha
Contexto em Saúde:
ODS3 - Meta 3.9 Reduzir as mortes por produtos químicos y contaminação do ar, água e solo
/
ODS3 - Saúde e Bem-Estar
Problema de saúde:
Exposições Ocupacionais
/
Meta 3.5 Prevenção e tratamento do consumo de substâncias psicoativas
Base de dados:
IBECS
Assunto principal:
Doenças Pulmonares Intersticiais
Tipo de estudo:
Estudo de etiologia
Limite:
Adulto
/
Idoso
/
Feminino
/
Humanos
/
Masculino
Idioma:
Espanhol
Revista:
Med. clín (Ed. impr.)
Ano de publicação:
2006
Tipo de documento:
Artigo
Instituição/País de afiliação:
Hospital Clínic/España
/
Hospital Universitari Vall dHebron/España