SciELO - Scientific Electronic Library Online

 
vol.69 número3Trombosis de la vena ovárica: Factores de riesgo, diagnóstico y tratamientoCuando los glucocorticoides cambian de protectores a dañinos en un modelo animal de diabetes tipo 1 índice de autoresíndice de assuntospesquisa de artigos
Home Pagelista alfabética de periódicos  

Serviços Personalizados

Journal

Artigo

Indicadores

  • Não possue artigos citadosCitado por SciELO

Links relacionados

  • Não possue artigos similaresSimilares em SciELO

Compartilhar


Medicina (Buenos Aires)

versão impressa ISSN 0025-7680versão On-line ISSN 1669-9106

Resumo

ARCE, Santiago C.; MOLINARI, Luciana  e  DE VITO, Eduardo L.. Functional respiratory evolution in two patients with emphysema and pulmonary fibrosis. Medicina (B. Aires) [online]. 2009, vol.69, n.3, pp.350-352. ISSN 0025-7680.

Combined pulmonary fibrosis and emphysema (CPFE) is a frequently under-diagnosed condition. Isolated pulmonary function tests (PFT) can give rise to misinterpretations. We have found no reports on these patients’ spirometric progression. We describe two cases of CPFE, showing long-term functional evolution to have a more accurate understanding of current spirometric values. The most relevant findings are: 1) spirometry with discrete functional alterations in the presence of a marked dyspnea and the need, in one patient, for chronic oxygen therapy; and 2) functional evolution reflecting "pseudonormalisation" of the initial obstructive spirometric pattern, possibly as a result of fibrosis development. A mild obstructive defect in a patient with chronic airflow limitation and marked impairment of his/her clinical status and functional class should alert on the possibility of associated pulmonary fibrosis. A computed tomography (CT) and previous PFTs will allow a better understanding of this condition.

Palavras-chave : Pulmonary fibrosis; Pulmonary emphysema; Chronic obstructive pulmonary disease; Spirometry; Physiopathology.

        · resumo em Espanhol     · texto em Espanhol     · Espanhol ( pdf )

 

Creative Commons License Todo o conteúdo deste periódico, exceto onde está identificado, está licenciado sob uma Licença Creative Commons