Multiple cystic lung disease in a smoker
Abstract Background Pulmonary cyst is a rounded lung parenchymal lucency, usually containing air or fluid. Approach to establishing the etiology of lung cyst includes determining their location, number, distribution, and presence or absence of associated computed tomography findings (associated with...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
SpringerOpen
2022-12-01
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| Series: | The Egyptian Journal of Internal Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s43162-022-00184-y |
| _version_ | 1797977288337260544 |
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| author | Amit Panjwani Mohamed Redha Salman |
| author_facet | Amit Panjwani Mohamed Redha Salman |
| author_sort | Amit Panjwani |
| collection | DOAJ |
| description | Abstract Background Pulmonary cyst is a rounded lung parenchymal lucency, usually containing air or fluid. Approach to establishing the etiology of lung cyst includes determining their location, number, distribution, and presence or absence of associated computed tomography findings (associated with nodules or ground-glass attenuation). Multiple cysts may be seen in various diseases, and radiological imaging is the usual starting point in detecting lung cysts. Importance of adequate clinical examination accompanied with relevant investigations in securing the etiology of lung cysts cannot be overemphasized. We present a first case of a rare multiple cystic lung disease from the Kingdom of Bahrain that was successfully managed with oral corticosteroids. Case presentation A 42-year-old male, chronic smoker presented with progressive dyspnea and productive cough of 1 year duration. He was evaluated and found to have multiple variable sized thin and thick-walled cysts with bizarre shapes in both lungs. A diagnosis of pulmonary Langerhans’ cell histiocytosis was made, and the patient was treated with smoking cessation and oral corticosteroids for 9 months. Conclusion Patients with characteristic clinical and radiological features can be diagnosed as pulmonary Langerhans’ cell histiocytosis, without a tissue biopsy. A good response may be seen with smoking cessation and oral corticosteroids in selected group of patients. |
| first_indexed | 2024-04-11T05:04:29Z |
| format | Article |
| id | doaj.art-b268f2d6abca44c381153b5cc0541ba5 |
| institution | Directory Open Access Journal |
| issn | 1110-7782 2090-9098 |
| language | English |
| last_indexed | 2024-04-11T05:04:29Z |
| publishDate | 2022-12-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Journal of Internal Medicine |
| spelling | doaj.art-b268f2d6abca44c381153b5cc0541ba52022-12-25T12:30:09ZengSpringerOpenThe Egyptian Journal of Internal Medicine1110-77822090-90982022-12-013411410.1186/s43162-022-00184-yMultiple cystic lung disease in a smokerAmit Panjwani0Mohamed Redha Salman1Department of Internal Medicine (Respiratory Unit), Salmaniya Medical ComplexDepartment of Internal Medicine (Respiratory Unit), Salmaniya Medical ComplexAbstract Background Pulmonary cyst is a rounded lung parenchymal lucency, usually containing air or fluid. Approach to establishing the etiology of lung cyst includes determining their location, number, distribution, and presence or absence of associated computed tomography findings (associated with nodules or ground-glass attenuation). Multiple cysts may be seen in various diseases, and radiological imaging is the usual starting point in detecting lung cysts. Importance of adequate clinical examination accompanied with relevant investigations in securing the etiology of lung cysts cannot be overemphasized. We present a first case of a rare multiple cystic lung disease from the Kingdom of Bahrain that was successfully managed with oral corticosteroids. Case presentation A 42-year-old male, chronic smoker presented with progressive dyspnea and productive cough of 1 year duration. He was evaluated and found to have multiple variable sized thin and thick-walled cysts with bizarre shapes in both lungs. A diagnosis of pulmonary Langerhans’ cell histiocytosis was made, and the patient was treated with smoking cessation and oral corticosteroids for 9 months. Conclusion Patients with characteristic clinical and radiological features can be diagnosed as pulmonary Langerhans’ cell histiocytosis, without a tissue biopsy. A good response may be seen with smoking cessation and oral corticosteroids in selected group of patients.https://doi.org/10.1186/s43162-022-00184-yPulmonary Langerhans’ cell histiocytosisSmokingMultiple cystic lung diseaseSmoking cessationSteroids |
| spellingShingle | Amit Panjwani Mohamed Redha Salman Multiple cystic lung disease in a smoker The Egyptian Journal of Internal Medicine Pulmonary Langerhans’ cell histiocytosis Smoking Multiple cystic lung disease Smoking cessation Steroids |
| title | Multiple cystic lung disease in a smoker |
| title_full | Multiple cystic lung disease in a smoker |
| title_fullStr | Multiple cystic lung disease in a smoker |
| title_full_unstemmed | Multiple cystic lung disease in a smoker |
| title_short | Multiple cystic lung disease in a smoker |
| title_sort | multiple cystic lung disease in a smoker |
| topic | Pulmonary Langerhans’ cell histiocytosis Smoking Multiple cystic lung disease Smoking cessation Steroids |
| url | https://doi.org/10.1186/s43162-022-00184-y |
| work_keys_str_mv | AT amitpanjwani multiplecysticlungdiseaseinasmoker AT mohamedredhasalman multiplecysticlungdiseaseinasmoker |