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CASE REPORT
Korean J Pediatr 1997 December;40(12) :1745-1749.
A Case of Lipoid Pneumonia with Hypercalcemia Caused by SqualelneⓇ Intake by Force
Young Kyoun Kim (Kim YK), Ho Suk Kang (Kang HS), Seung Cheol Lee (Lee SC), Chong Guk Lee (Lee CG), Sang Woo Kim (Kim SW)
Department of Pediatrics, Inje University Seoul Paik Hospital, Seoul, Korea
Copyright © 1997 by The Korean Pediatric Society
ABSTRACT
Lipoid pneumonia is a chronic, interstitial, proliferative inflammation resulting from aspiration of lipoid material and occurs principally in debilated infants. We experienced a case of lipoid pneumonia with hypercalcemia in a 15 month-old boy who showed irritability, poor weight gain, cough, dyspnea, fatigue, diarrhea and pale face after ingestion of SqualeneⓇ(shark liver oil : 20-30 cap/day) by force for 2 months. Calcium preparation was also given for 5 months. Lipoid pneumonia was suspected from history and simple chest X-ray. Chest CT showed mixed interstitial reticular density in portions of affective lung fields and the density of the lesion is slightly lower than that of muscle. Although diagnosis was confirmed by tracheal aspiration cytology, chest CT findings could be used as a non-invassive diagnostic tool in lipoid pneumonia.
Keywords: Lipoid pneumonia | SqualeneⓇ | Hypercalcemia | Chest CT
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