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]
Affiliations
- 1 Servicio de Neumología, Hospital General Universitario Gregorio Marañón, IiSGM, Universidad Complutense de Madrid, Madrid, España.
- 2 Departamento de Anatomía Patológica, Hospital General Universitario Gregorio Marañón, Madrid, España.
- 3 Servicio de Neumología, Hospital General Universitario Gregorio Marañón, IiSGM, Universidad Complutense de Madrid, Madrid, España. Electronic address: jmiguel.hgugm@salud.madrid.org.
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.
Copyright © 2013 SEPAR. Published by Elsevier Espana. All rights reserved.
MeSH terms
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Biopsy
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Delayed Diagnosis
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Disease Progression
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Dyspnea / etiology
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Fatal Outcome
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Female
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Gardening*
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Humans
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Hypertension, Pulmonary / etiology
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Middle Aged
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Occupational Exposure*
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Plants / chemistry
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Pulmonary Veno-Occlusive Disease / complications
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Pulmonary Veno-Occlusive Disease / diagnosis
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Pulmonary Veno-Occlusive Disease / diagnostic imaging
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Pulmonary Veno-Occlusive Disease / etiology*
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Pulmonary Veno-Occlusive Disease / pathology
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Pyrrolizidine Alkaloids / toxicity*
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Tomography, X-Ray Computed