The Diagnosis Of Exogenous Lipoid Pneumonia Caused By The Silent Aspiration Of Vegetable Oil Using A Lipidomic Analysis
INTERNAL MEDICINE(2020)
摘要
We herein report a case of refractory exogenous lipoid pneumonia that was successfully attributed to vegetable oil through a lipidomic analysis of bronchoalveolar lavage fluid (BALF). As a 25-year-old woman diagnosed with lipoid pneumonia experienced repeated exacerbations and improvement, we performed a BALF lipidomic analysis. The major lipid components were oleic acid, linoleic acid, and a-linolenic acid, which are constituents of vegetable oil. She stopped consuming any vegetable oil and has since experienced no instances of lipoid pneumonia relapse. A lipidomic analysis appears to be useful for identifying causative lipids, since patients with lipoid pneumonia are sometimes unaware of aspiration episodes.
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关键词
exogenous lipoid pneumonia, lipidomic analysis, bronchoalveolar lavage fluid, vegetable oil
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