Pleuroparenchymal fibroelastosis (PPFE) associated with giant cell arteritis: A coincidence or a novel phenotype?

Pleuroparenchymal fibroelastosis (PPFE) is a rare interstitial lung disease characterized by the fibrotic thickening of subpleural and parenchymal areas of the upper lobes. It may be both idiopathic or secondary to infections, interstitial lung diseases and/or drug exposure. Often PPFE patients repo...

Full description

Bibliographic Details
Main Authors: M. Perruzza, E. Fusha, P. Cameli, P.L. Capecchi, E. Selvi, F. Gentili, M.A. Mazzei, S. Aversa, D. Spina, D. Di Lucia, P. Sestini, L. Luzzi, E. Bargagli
Format: Article
Language:English
Published: Elsevier 2019-01-01
Series:Respiratory Medicine Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2213007119300826
_version_ 1818962020108599296
author M. Perruzza
E. Fusha
P. Cameli
P.L. Capecchi
E. Selvi
F. Gentili
M.A. Mazzei
S. Aversa
D. Spina
D. Di Lucia
P. Sestini
L. Luzzi
E. Bargagli
author_facet M. Perruzza
E. Fusha
P. Cameli
P.L. Capecchi
E. Selvi
F. Gentili
M.A. Mazzei
S. Aversa
D. Spina
D. Di Lucia
P. Sestini
L. Luzzi
E. Bargagli
author_sort M. Perruzza
collection DOAJ
description Pleuroparenchymal fibroelastosis (PPFE) is a rare interstitial lung disease characterized by the fibrotic thickening of subpleural and parenchymal areas of the upper lobes. It may be both idiopathic or secondary to infections, interstitial lung diseases and/or drug exposure. Often PPFE patients report recurrent lower respiratory tract infections, suggesting that repeated inflammatory alterations induced by pulmonary infections may contribute to the development/progression of PPFE.Here, we report for the first time the case of a patient affected by Giant cell Arteritis with histologically proven PPFE. The lung involvement in GCA is rare and interstitial lung diseases are usually reported as an uncommon clinical manifestation of GCA. Our patient is probably the first case presenting PPFE associated with GCA and we wonder if this is a real associative disease or a coincidence perhaps, secondary to drug effects. Keywords: Pleuroparenchymal fibroelastosis, Giant cell arteritis, Diagnosis
first_indexed 2024-12-20T12:22:41Z
format Article
id doaj.art-43ec1a773d3b4a4083a2bca386531c56
institution Directory Open Access Journal
issn 2213-0071
language English
last_indexed 2024-12-20T12:22:41Z
publishDate 2019-01-01
publisher Elsevier
record_format Article
series Respiratory Medicine Case Reports
spelling doaj.art-43ec1a773d3b4a4083a2bca386531c562022-12-21T19:40:56ZengElsevierRespiratory Medicine Case Reports2213-00712019-01-0127Pleuroparenchymal fibroelastosis (PPFE) associated with giant cell arteritis: A coincidence or a novel phenotype?M. Perruzza0E. Fusha1P. Cameli2P.L. Capecchi3E. Selvi4F. Gentili5M.A. Mazzei6S. Aversa7D. Spina8D. Di Lucia9P. Sestini10L. Luzzi11E. Bargagli12Department of Medical Sciences, Surgery and Neurosciences, University of Siena, Viale M. Bracci 16, 53100 Siena, ItalyDepartment of Medical Sciences, Surgery and Neurosciences, University of Siena, Viale M. Bracci 16, 53100 Siena, ItalyDepartment of Medical Sciences, Surgery and Neurosciences, University of Siena, Viale M. Bracci 16, 53100 Siena, ItalyDepartment of Medical Sciences, Surgery and Neurosciences, University of Siena, Viale M. Bracci 16, 53100 Siena, ItalyDepartment of Medical Sciences, Surgery and Neurosciences, University of Siena, Viale M. Bracci 16, 53100 Siena, ItalyDepartment of Medical Sciences, Surgery and Neurosciences, University of Siena, Viale M. Bracci 16, 53100 Siena, ItalyDepartment of Medical Sciences, Surgery and Neurosciences, University of Siena, Viale M. Bracci 16, 53100 Siena, ItalyPathology Section, Department of Human Pathology and Oncology, Siena University Hospital, Siena, ItalyPathology Section, Department of Human Pathology and Oncology, Siena University Hospital, Siena, ItalyDepartment of Medical Sciences, Surgery and Neurosciences, University of Siena, Viale M. Bracci 16, 53100 Siena, ItalyDepartment of Medical Sciences, Surgery and Neurosciences, University of Siena, Viale M. Bracci 16, 53100 Siena, ItalyThoracic Surgery Unit, Department of Cardiothoracic and Vascular Surgery, Siena University Hospital, ItalyDepartment of Medical Sciences, Surgery and Neurosciences, University of Siena, Viale M. Bracci 16, 53100 Siena, Italy; Corresponding author. UOC Malattie Respiratorie e Trapianto di Polmone, Policlinico Le Scotte, Viale Bracci, 53100 Siena, Italy.Pleuroparenchymal fibroelastosis (PPFE) is a rare interstitial lung disease characterized by the fibrotic thickening of subpleural and parenchymal areas of the upper lobes. It may be both idiopathic or secondary to infections, interstitial lung diseases and/or drug exposure. Often PPFE patients report recurrent lower respiratory tract infections, suggesting that repeated inflammatory alterations induced by pulmonary infections may contribute to the development/progression of PPFE.Here, we report for the first time the case of a patient affected by Giant cell Arteritis with histologically proven PPFE. The lung involvement in GCA is rare and interstitial lung diseases are usually reported as an uncommon clinical manifestation of GCA. Our patient is probably the first case presenting PPFE associated with GCA and we wonder if this is a real associative disease or a coincidence perhaps, secondary to drug effects. Keywords: Pleuroparenchymal fibroelastosis, Giant cell arteritis, Diagnosishttp://www.sciencedirect.com/science/article/pii/S2213007119300826
spellingShingle M. Perruzza
E. Fusha
P. Cameli
P.L. Capecchi
E. Selvi
F. Gentili
M.A. Mazzei
S. Aversa
D. Spina
D. Di Lucia
P. Sestini
L. Luzzi
E. Bargagli
Pleuroparenchymal fibroelastosis (PPFE) associated with giant cell arteritis: A coincidence or a novel phenotype?
Respiratory Medicine Case Reports
title Pleuroparenchymal fibroelastosis (PPFE) associated with giant cell arteritis: A coincidence or a novel phenotype?
title_full Pleuroparenchymal fibroelastosis (PPFE) associated with giant cell arteritis: A coincidence or a novel phenotype?
title_fullStr Pleuroparenchymal fibroelastosis (PPFE) associated with giant cell arteritis: A coincidence or a novel phenotype?
title_full_unstemmed Pleuroparenchymal fibroelastosis (PPFE) associated with giant cell arteritis: A coincidence or a novel phenotype?
title_short Pleuroparenchymal fibroelastosis (PPFE) associated with giant cell arteritis: A coincidence or a novel phenotype?
title_sort pleuroparenchymal fibroelastosis ppfe associated with giant cell arteritis a coincidence or a novel phenotype
url http://www.sciencedirect.com/science/article/pii/S2213007119300826
work_keys_str_mv AT mperruzza pleuroparenchymalfibroelastosisppfeassociatedwithgiantcellarteritisacoincidenceoranovelphenotype
AT efusha pleuroparenchymalfibroelastosisppfeassociatedwithgiantcellarteritisacoincidenceoranovelphenotype
AT pcameli pleuroparenchymalfibroelastosisppfeassociatedwithgiantcellarteritisacoincidenceoranovelphenotype
AT plcapecchi pleuroparenchymalfibroelastosisppfeassociatedwithgiantcellarteritisacoincidenceoranovelphenotype
AT eselvi pleuroparenchymalfibroelastosisppfeassociatedwithgiantcellarteritisacoincidenceoranovelphenotype
AT fgentili pleuroparenchymalfibroelastosisppfeassociatedwithgiantcellarteritisacoincidenceoranovelphenotype
AT mamazzei pleuroparenchymalfibroelastosisppfeassociatedwithgiantcellarteritisacoincidenceoranovelphenotype
AT saversa pleuroparenchymalfibroelastosisppfeassociatedwithgiantcellarteritisacoincidenceoranovelphenotype
AT dspina pleuroparenchymalfibroelastosisppfeassociatedwithgiantcellarteritisacoincidenceoranovelphenotype
AT ddilucia pleuroparenchymalfibroelastosisppfeassociatedwithgiantcellarteritisacoincidenceoranovelphenotype
AT psestini pleuroparenchymalfibroelastosisppfeassociatedwithgiantcellarteritisacoincidenceoranovelphenotype
AT lluzzi pleuroparenchymalfibroelastosisppfeassociatedwithgiantcellarteritisacoincidenceoranovelphenotype
AT ebargagli pleuroparenchymalfibroelastosisppfeassociatedwithgiantcellarteritisacoincidenceoranovelphenotype