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Letters |2 September 2008

Exogenous Lipoid Pneumonia: An Unexpected Complication of Substance Abuse

Michael N. Gurell, MD; R. Matthew Kottmann, MD; Haodong Xu, MD; Patricia J. Sime, MD

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Author, Article, and Disclosure Information
  • From the University of Rochester, Rochester, NY 14642.

    Potential Financial Conflicts of Interest: None disclosed.

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Background: Exogenous lipoid pneumonia is an uncommon cause of pulmonary infiltrates resulting from aspiration or inhalation of fat-like material. It is often unrecognized because its symptoms and radiographic appearances are nonspecific and mimic many pulmonary diseases. Generally, affected patients use oil-based laxatives and have risk factors for aspiration. It is not classically considered a consequence of substance abuse.
Objective: To describe a patient with exogenous lipoid pneumonia caused by inhalation of crack cocaine mixed with petroleum jelly.
Case Report: A 42-year-old black man was evaluated for a 6-month history of progressively worsening dyspnea on exertion. He denied associated symptoms, including...
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Gurell MN, Kottmann RM, Xu H, et al. Exogenous Lipoid Pneumonia: An Unexpected Complication of Substance Abuse. Ann Intern Med. 2008;149:364–365. doi: https://doi.org/10.7326/0003-4819-149-5-200809020-00027

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Published: Ann Intern Med. 2008;149(5):364-365.

DOI: 10.7326/0003-4819-149-5-200809020-00027

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2008 American College of Physicians
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704

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