PT  - JOURNAL ARTICLE
AU  - Shota Nakashima
AU  - Yuji Ishimatsu
AU  - Shintaro Hara
AU  - Masanori Kitaichi
AU  - Shigeru Kohno
TI  - Exogenous Lipoid Pneumonia Successfully Treated With Bronchoscopic Segmental Lavage Therapy
AID  - 10.4187/respcare.03225
DP  - 2015 Jan 01
TA  - Respiratory Care
PG  - e1--e5
VI  - 60
IP  - 1
4099  - http://rc.rcjournal.com/content/60/1/e1.short
4100  - http://rc.rcjournal.com/content/60/1/e1.full
AB  - A 65-y-old Japanese man was referred to the respiratory medicine department because of abnormal radiologic findings. High-resolution chest computed tomography scans revealed a geographic distribution of ground-glass opacities and associated thickening of the interlobular septa (crazy-paving patterns) in both lower lobes. He had a habit of drinking 400–500 mL of milk and 400–800 mL of canned coffee with milk every day. A swallowing function test revealed liquid dysphagia. Bronchoalveolar lavage fluid cytology findings showed multiple lipid-laden macrophages. Taken together, these findings revealed exogenous lipoid pneumonia. We performed bronchoscopic segmental lavage therapy 3 times in the left lung. After the treatment, the radiologic findings improved in both lungs. The patient has not experienced a recurrence of lipoid pneumonia in 2 y to date. In conclusion, a case of exogenous lipoid pneumonia was successfully treated with bronchoscopic segmental lavage therapy.