Pulmonary veno-occlusive disease in a female gardener

Arch Bronconeumol. 2014 Jan;50(1):40-1. doi: 10.1016/j.arbres.2013.05.010. Epub 2013 Jul 22.
[Article in English, Spanish]

Abstract

Pulmonary veno-occlusive disease (PVOD) is a subgroup of pulmonary arterial hypertension with a poor prognosis. The diagnosis is usually delayed and treatment options other than lung transplantation are unfortunately limited. We report the case of 51-year-old female gardener diagnosed with PVOD by open lung biopsy before her death. Although there are many reported cases of hepatic veno-occlusive disease due to toxic agents present in nature, such as pyrrolizidine alkaloid exposure, to date this has not been linked to PVOD.

Keywords: Biopsia pulmonar abierta; Edema pulmonar; Enfermedad pulmonar venooclusiva; Hipertensión arterial pulmonar; Open lung biopsy; Pulmonary arterial hypertension; Pulmonary edema; Pulmonary veno-occlusive disease.

Publication types

  • Case Reports

MeSH terms

  • Biopsy
  • Delayed Diagnosis
  • Disease Progression
  • Dyspnea / etiology
  • Fatal Outcome
  • Female
  • Gardening*
  • Humans
  • Hypertension, Pulmonary / etiology
  • Middle Aged
  • Occupational Exposure*
  • Plants / chemistry
  • Pulmonary Veno-Occlusive Disease / complications
  • Pulmonary Veno-Occlusive Disease / diagnosis
  • Pulmonary Veno-Occlusive Disease / diagnostic imaging
  • Pulmonary Veno-Occlusive Disease / etiology*
  • Pulmonary Veno-Occlusive Disease / pathology
  • Pyrrolizidine Alkaloids / toxicity*
  • Tomography, X-Ray Computed

Substances

  • Pyrrolizidine Alkaloids