Severe and progressive platythorax disproportionate to lung fibrosis: A rare variant of idiopathic pleuroparenchymal fibroelastosis.

Emaciation Flat chest index Platythorax Pleuroparenchymal fibroelastosis

Journal

Respiratory medicine case reports
ISSN: 2213-0071
Titre abrégé: Respir Med Case Rep
Pays: England
ID NLM: 101604463

Informations de publication

Date de publication:
2021
Historique:
received: 01 03 2021
revised: 12 03 2021
accepted: 16 03 2021
entrez: 5 4 2021
pubmed: 6 4 2021
medline: 6 4 2021
Statut: epublish

Résumé

A 57-year-old man was referred to our department because of progressive shortness of breath and emaciation. He had experienced pneumothorax three times in the past five years. The patient radiologically showed mild upper-lobe predominant airspace consolidation and severe platythorax and was clinically diagnosed with idiopathic pleuroparenchymal fibroelastosis (PPFE). Although the wedge-shaped shadows in the bilateral lung apexes did not significantly progress, his platythorax gradually worsened during the clinical course. He ultimately died of chronic respiratory failure 1.2 years after the diagnosis. This case demonstrates a rare variant of idiopathic PPFE with progressive platythorax disproportionate to the extent of upper-lobe fibroelastosis.

Identifiants

pubmed: 33816104
doi: 10.1016/j.rmcr.2021.101395
pii: S2213-0071(21)00057-5
pmc: PMC8008244
doi:

Types de publication

Case Reports

Langues

eng

Pagination

101395

Informations de copyright

© 2021 The Author(s).

Déclaration de conflit d'intérêts

The authors have no conflicts of interest directly relevant to the content of this article.

Références

Curr Respir Med Rev. 2013 Jun;9:299-237
pubmed: 24578677
Eur Respir J. 2014 Aug;44(2):289-96
pubmed: 25082907
J Clin Med. 2020 Nov 22;9(11):
pubmed: 33266381
Int J Rheumatol. 2011;2011:728471
pubmed: 21547038
Histopathology. 2017 Dec;71(6):934-942
pubmed: 28718917
Curr Pulmonol Rep. 2017;6(1):9-15
pubmed: 28344924
Thorax. 1975 Jun;30(3):316-25
pubmed: 1145536
Eur Respir Rev. 2014 Jun;23(132):263-6
pubmed: 24881083
Am J Respir Crit Care Med. 2013 Sep 15;188(6):733-48
pubmed: 24032382
Respir Investig. 2019 Jul;57(4):312-320
pubmed: 30981683
Multidiscip Respir Med. 2019 Mar 7;14:10
pubmed: 30886711
Histopathology. 2018 Sep;73(3):417-427
pubmed: 29675827
Chest. 1991 Nov;100(5):1453-5
pubmed: 1935312
Chest. 2004 Dec;126(6):2007-13
pubmed: 15596706
Histol Histopathol. 2020 Dec 14;:18289
pubmed: 33315234
Sarcoidosis Vasc Diffuse Lung Dis. 2020;37(2):212-217
pubmed: 33093785
Chest. 2017 Dec;152(6):1258-1265
pubmed: 28728932

Auteurs

Takato Ikeda (T)

Department of Respiratory Medicine, Fukuoka University Chikushi Hospital, Fukuoka, Japan.

Yoshiaki Kinoshita (Y)

Department of Respiratory Medicine, Fukuoka University Chikushi Hospital, Fukuoka, Japan.

Yusuke Ueda (Y)

Department of Respiratory Medicine, Fukuoka University Chikushi Hospital, Fukuoka, Japan.

Tomoya Sasaki (T)

Department of Respiratory Medicine, Fukuoka University Chikushi Hospital, Fukuoka, Japan.

Hisako Kushima (H)

Department of Respiratory Medicine, Fukuoka University Chikushi Hospital, Fukuoka, Japan.

Hiroshi Ishii (H)

Department of Respiratory Medicine, Fukuoka University Chikushi Hospital, Fukuoka, Japan.

Classifications MeSH