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47-jähriger Patient mit langjährigem Nikotinabusus, zunehmender Belastungsdyspnoe und diffusen, peripher und basal betonten Milchglastrübungen in der Lunge

A 47-year-old patient with longstanding nicotine abuse, increasing dyspnea on exertion and lower and peripheral lung predominant ground-glass opacities

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Zusammenfassung

Inzwischen wurde eine Reihe interstitieller Lungenerkrankungen identifiziert, die durch Zigarettenrauch ausgelöst werden können (SR-ILD, „smoking-related interstitial lung diseases“). Diese Entitäten können teilweise koexistieren und ineinander übergehen. Der hier geschilderte Fall eines Patienten mit langjährigem Nikotinabusus und Milchglastrübungen in der Lunge zeigt, dass die Kenntnis der variantenreichen Manifestationen der SR-ILD Voraussetzung für eine kompetente Bildinterpretation ist.

Abstract

The causal relationship between cigarette smoking and a number of interstitial lung diseases continues to evolve. These “smoking-related interstitial lung diseases” (SR-ILD) are a heterogeneous group of entities which have overlapping imaging findings and which can coexist. The presented case of a patient with smoking history and pulmonary ground-glass opacities demonstrates that thorough knowledge of the various manifestations of SR-ILD is essential for a confident diagnosis.

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Authors and Affiliations

  1. Institut für Röntgendiagnostik, Klinikum der Universität Regensburg, Franz-Josef-Str.-Allee 11, 93042, Regensburg, Deutschland

    P. Heiss, S. Feuerbach & O.W. Hamer

  2. Medizinische Klinik 1, Krankenhaus Barmherzige Brüder, Regensburg, Deutschland

    C. Kundel

  3. Klinik und Poliklinik für Innere Medizin II, Klinikum der Universität Regensburg, Regensburg, Deutschland

    C. Schulz

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  1. P. Heiss
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  2. C. Kundel
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  3. C. Schulz
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  4. S. Feuerbach
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  5. O.W. Hamer
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Correspondence to P. Heiss.

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Heiss, P., Kundel, C., Schulz, C. et al. 47-jähriger Patient mit langjährigem Nikotinabusus, zunehmender Belastungsdyspnoe und diffusen, peripher und basal betonten Milchglastrübungen in der Lunge. Radiologe 49, 434–438 (2009). https://doi.org/10.1007/s00117-008-1778-7

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  • DOI: https://doi.org/10.1007/s00117-008-1778-7

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