Abstract
ELP are uncommon diseases. The most frequent etiology is the chronic use of medicines containing mineral oily substances, mostly paraffin or vaseline, for constipation or rhinopharyngeal diseases.
ELP are often asymptomatic. Diagnosis must be considered in case of patient history, with use of oily medicines, and imaging features, particularly hypodense consolidations, suggest it. This diagnosis must be confirmed by various examinations allowing to show presence of intrapulmonary oil, such as bronchoalveolar lavage or histological specimens of which fat stains will be used.
Endogenous lipid pneumonia must be eliminated.
Early recognition and discontinuation of exposure are essential to prevent the lesions from evolving towards fibrosis and respiratory failure.
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Gondouin, A., Dalphin, JC. (2015). Exogenous Lipoid Pneumonia. In: Cottin, V., Cordier, JF., Richeldi, L. (eds) Orphan Lung Diseases. Springer, London. https://doi.org/10.1007/978-1-4471-2401-6_19
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