Pleuroparenchymal fibroelastosis: report of two cases in Brazil

ABSTRACT Pleuroparenchymal fibroelastosis (PPFE) is a rare lung disease. It can be idiopathic or associated with any one of various conditions. To our knowledge, this is the first report of two cases of PPFE in Brazil. Our first patient presented with pleural and subpleural fibrosis in the upper lob...

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Main Authors: Paula Silva Gomes, Christina Shiang, Gilberto Szarf, Ester Nei Aparecida Martins Coletta, Carlos Alberto de Castro Pereira
Format: Article
Language:English
Published: Sociedade Brasileira de Pneumologia e Tisiologia
Series:Jornal Brasileiro de Pneumologia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132017005001107&lng=en&tlng=en
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author Paula Silva Gomes
Christina Shiang
Gilberto Szarf
Ester Nei Aparecida Martins Coletta
Carlos Alberto de Castro Pereira
author_facet Paula Silva Gomes
Christina Shiang
Gilberto Szarf
Ester Nei Aparecida Martins Coletta
Carlos Alberto de Castro Pereira
author_sort Paula Silva Gomes
collection DOAJ
description ABSTRACT Pleuroparenchymal fibroelastosis (PPFE) is a rare lung disease. It can be idiopathic or associated with any one of various conditions. To our knowledge, this is the first report of two cases of PPFE in Brazil. Our first patient presented with pleural and subpleural fibrosis in the upper lobes; a spiculated nodule in the left upper lobe; and a mild reticular pattern in the lower lobes. Surgical lung biopsy revealed PPFE in the upper lobes, including the nodule, and unclassified interstitial pneumonia in the left lower lobe. Our second patient had a history of exposure to domestic birds, indicating a risk of hypersensitivity pneumonitis, and presented with advanced lung disease, predominantly in the upper lobes, together with subpleural fibrosis.That patient underwent lung transplantation. In the explant specimen, PPFE and granulomas were identified, suggesting hypersensitivity pneumonitis as an associated cause.
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spelling doaj.art-cd90735057ac480ab4bf54c4c5549bb62022-12-21T23:35:00ZengSociedade Brasileira de Pneumologia e TisiologiaJornal Brasileiro de Pneumologia1806-3756010.1590/s1806-37562016000000045S1806-37132017005001107Pleuroparenchymal fibroelastosis: report of two cases in BrazilPaula Silva GomesChristina ShiangGilberto SzarfEster Nei Aparecida Martins ColettaCarlos Alberto de Castro PereiraABSTRACT Pleuroparenchymal fibroelastosis (PPFE) is a rare lung disease. It can be idiopathic or associated with any one of various conditions. To our knowledge, this is the first report of two cases of PPFE in Brazil. Our first patient presented with pleural and subpleural fibrosis in the upper lobes; a spiculated nodule in the left upper lobe; and a mild reticular pattern in the lower lobes. Surgical lung biopsy revealed PPFE in the upper lobes, including the nodule, and unclassified interstitial pneumonia in the left lower lobe. Our second patient had a history of exposure to domestic birds, indicating a risk of hypersensitivity pneumonitis, and presented with advanced lung disease, predominantly in the upper lobes, together with subpleural fibrosis.That patient underwent lung transplantation. In the explant specimen, PPFE and granulomas were identified, suggesting hypersensitivity pneumonitis as an associated cause.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132017005001107&lng=en&tlng=enDoenças pulmonares intersticiais/diagnósticoDoenças pulmonares intersticiais/etiologiaAlveolite alérgica extrínseca
spellingShingle Paula Silva Gomes
Christina Shiang
Gilberto Szarf
Ester Nei Aparecida Martins Coletta
Carlos Alberto de Castro Pereira
Pleuroparenchymal fibroelastosis: report of two cases in Brazil
Jornal Brasileiro de Pneumologia
Doenças pulmonares intersticiais/diagnóstico
Doenças pulmonares intersticiais/etiologia
Alveolite alérgica extrínseca
title Pleuroparenchymal fibroelastosis: report of two cases in Brazil
title_full Pleuroparenchymal fibroelastosis: report of two cases in Brazil
title_fullStr Pleuroparenchymal fibroelastosis: report of two cases in Brazil
title_full_unstemmed Pleuroparenchymal fibroelastosis: report of two cases in Brazil
title_short Pleuroparenchymal fibroelastosis: report of two cases in Brazil
title_sort pleuroparenchymal fibroelastosis report of two cases in brazil
topic Doenças pulmonares intersticiais/diagnóstico
Doenças pulmonares intersticiais/etiologia
Alveolite alérgica extrínseca
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132017005001107&lng=en&tlng=en
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