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A 55-year-old craftsman with dyspnea and clubbing: a case report

INTRODUCTION: Clubbing is very uncommon in respiratory bronchiolitis-associated interstitial lung disease, and primarily raises the suspicion of idiopathic pulmonary fibrosis in a patient presenting with diffuse parenchymal lung disease. If idiopathic pulmonary fibrosis can be excluded, clubbing sho...

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Autores principales: Scheidl, Stefan, Kovacs, Gabor, Stacher, Elvira, Popper, Helmut, Olschewski, Horst
Formato: Texto
Lenguaje:English
Publicado: Cases Network Ltd 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2769459/
https://www.ncbi.nlm.nih.gov/pubmed/19918389
http://dx.doi.org/10.4076/1757-1626-2-8579
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author Scheidl, Stefan
Kovacs, Gabor
Stacher, Elvira
Popper, Helmut
Olschewski, Horst
author_facet Scheidl, Stefan
Kovacs, Gabor
Stacher, Elvira
Popper, Helmut
Olschewski, Horst
author_sort Scheidl, Stefan
collection PubMed
description INTRODUCTION: Clubbing is very uncommon in respiratory bronchiolitis-associated interstitial lung disease, and primarily raises the suspicion of idiopathic pulmonary fibrosis in a patient presenting with diffuse parenchymal lung disease. If idiopathic pulmonary fibrosis can be excluded, clubbing should raise the suspicion of an occult tumour. CASE PRESENTATION: We describe a heavy smoker presenting with dyspnea and severe clubbing. Surgical lung biopsy revealed the histologic diagnosis of respiratory bronchiolitis-associated interstitial lung disease. Respiratory bronchiolitis-associated interstitial lung disease is a distinct clinicopathologic entity within idiopathic interstitial pneumonia patients described almost exclusively in cigarette smokers. The disease is associated with a good prognosis and mild symptoms but not with clubbing. After smoking cessation the radiologic findings of interstitial lung disease improved in parallel with improvement in lung function and gas exchange. However, a central squamous cell carcinoma was detected in the follow-up. CONCLUSION: In this case, clubbing was most probably caused by the occult tumor rather than by respiratory bronchiolitis-associated interstitial lung disease.
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spelling pubmed-27694592009-11-16 A 55-year-old craftsman with dyspnea and clubbing: a case report Scheidl, Stefan Kovacs, Gabor Stacher, Elvira Popper, Helmut Olschewski, Horst Cases J Case report INTRODUCTION: Clubbing is very uncommon in respiratory bronchiolitis-associated interstitial lung disease, and primarily raises the suspicion of idiopathic pulmonary fibrosis in a patient presenting with diffuse parenchymal lung disease. If idiopathic pulmonary fibrosis can be excluded, clubbing should raise the suspicion of an occult tumour. CASE PRESENTATION: We describe a heavy smoker presenting with dyspnea and severe clubbing. Surgical lung biopsy revealed the histologic diagnosis of respiratory bronchiolitis-associated interstitial lung disease. Respiratory bronchiolitis-associated interstitial lung disease is a distinct clinicopathologic entity within idiopathic interstitial pneumonia patients described almost exclusively in cigarette smokers. The disease is associated with a good prognosis and mild symptoms but not with clubbing. After smoking cessation the radiologic findings of interstitial lung disease improved in parallel with improvement in lung function and gas exchange. However, a central squamous cell carcinoma was detected in the follow-up. CONCLUSION: In this case, clubbing was most probably caused by the occult tumor rather than by respiratory bronchiolitis-associated interstitial lung disease. Cases Network Ltd 2009-09-09 /pmc/articles/PMC2769459/ /pubmed/19918389 http://dx.doi.org/10.4076/1757-1626-2-8579 Text en © 2009 Scheidl et al.; licensee Cases Network Ltd. http://creativecommons.org/licenses/by/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case report
Scheidl, Stefan
Kovacs, Gabor
Stacher, Elvira
Popper, Helmut
Olschewski, Horst
A 55-year-old craftsman with dyspnea and clubbing: a case report
title A 55-year-old craftsman with dyspnea and clubbing: a case report
title_full A 55-year-old craftsman with dyspnea and clubbing: a case report
title_fullStr A 55-year-old craftsman with dyspnea and clubbing: a case report
title_full_unstemmed A 55-year-old craftsman with dyspnea and clubbing: a case report
title_short A 55-year-old craftsman with dyspnea and clubbing: a case report
title_sort 55-year-old craftsman with dyspnea and clubbing: a case report
topic Case report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2769459/
https://www.ncbi.nlm.nih.gov/pubmed/19918389
http://dx.doi.org/10.4076/1757-1626-2-8579
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