Lung consolidation in a young-age active smoker: An unexpected diagnosis

F R Bertuccio; N Baio; V Chino; V Ferroni; S Montini; L Pisanu; A Cascina; V Conio; A G Corsico; G M Stella

doi:10.1016/j.rmcr.2023.101977

Lung consolidation in a young-age active smoker: An unexpected diagnosis

Respir Med Case Rep. 2024 Jan 2:47:101977. doi: 10.1016/j.rmcr.2023.101977. eCollection 2024.

Authors

F R Bertuccio^{1

2}, N Baio^{1

2}, V Chino^{1

2}, V Ferroni^{1

2}, S Montini^{1

2}, L Pisanu^{1

2}, A Cascina^{1

2}, V Conio^{1

2}, A G Corsico^{1

2}, G M Stella^{1

2}

Affiliations

¹ Cardiothoracic and Vascular Department, Unit of Respiratory Disease, IRCCS Policlinico San Matteo, Viale Golgi 19, 27100, Pavia, Italy.
² Department of Internal Medicine and Pharmacology, University of Pavia, Pavia, 27100, Italy.

Abstract

A 29-year-old man presented to Emergency Department with nonspecific symptoms. Through a series of radiological and invasive diagnostic studies we finally reach an unexpected diagnosis of hypersentivity pneumonitis; this is a complex and heterogeneous disease which diagnosis can be challenging as its clinical, radiologic and histopathologic features overlap with those of other interstitial lung diseases (ILDs). Diagnosing an ILD is a dynamic process, and that is the reason why complex cases discussed in a multidisciplinary team may need to be reconsidered in light of evolution of the disease and the results of the performed exams with a flexible approach.

Keywords: Hypersensitivity pneumonitis; Interstitial lung diseases; Multidisciplinary-team discussion.

Publication types

Case Reports