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Medicina Legal de Costa Rica

On-line version ISSN 2215-5287Print version ISSN 1409-0015


NUNEZ OCAMPO, Ana Elena. Neumonía lipoidea por exposición laboral. Med. leg. Costa Rica [online]. 2014, vol.31, n.2, pp.103-111. ISSN 2215-5287.

The lipoid pneumonia is an uncommon condition that results from the presence of lipids within the alveolar space. According to the source of lipids has been classified into endogenous and exogenous, and this in turn according to the presentation in acute and chronic. Exogenous lipoid pneumonia is caused by inhalation or aspiration of oily substances, usually seen in patients predisposed to aspiration for anatomical or neurological disorders, but also can occur in healthy patients who are exposed to these substances and are usually cases of occupational exposure. The pathophysiology is secondary to a foreign body response that ends in pulmonary fibrosis. Symptoms and physical examinations findings are nonspecific as well as laboratory and cabinet tests, this makes it a disease underdiagnosed; however, doing a good history and labor history may suspect the diagnosis in the case of treating physicians or establish a causal link if the case of the forensic medical. Case presentation: Male 34 years of age are exposed, referred by a case of occupational risk, the same with no known medical history, who was exposed to the vehicle driven smoke then begins with nonspecific respiratory symptoms and finally is diagnosed with lipoid pneumonia.

Keywords : Lipoid pneumonia; occupational medicine; forensic pathology; suirgical pathology; pulmonary pathology; forensic autopsy.

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