Abstract |
We report a patient who developed shortness of breath and systemic symptoms after starting to smoke fentanyl patches. CT scan showed ground glass centrilobular nodules, and biopsy demonstrated alveolar proteinosis. Her symptoms disappeared and her chest imaging changes largely resolved when she stopped smoking the patches. Alveolar proteinosis is an uncommon drug reaction and in this case presented in a very unusual fashion as an inhalation injury.
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Authors | Erin Chapman, Jonathon Leipsic, Niranjala Satkunam, Andrew Churg |
Journal | Chest
(Chest)
Vol. 141
Issue 5
Pg. 1321-1323
(May 2012)
ISSN: 1931-3543 [Electronic] United States |
PMID | 22553265
(Publication Type: Case Reports, Journal Article)
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Chemical References |
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Topics |
- Administration, Inhalation
- Biopsy
- Female
- Fentanyl
(toxicity)
- Follow-Up Studies
- Humans
- Inhalant Abuse
(complications, diagnosis, pathology)
- Lung
(diagnostic imaging, drug effects, pathology)
- Middle Aged
- Narcotics
(toxicity)
- Pulmonary Alveolar Proteinosis
(chemically induced, diagnostic imaging, pathology)
- Thoracic Surgery, Video-Assisted
- Tomography, X-Ray Computed
- Transdermal Patch
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