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A Case of Lipoid Pneumonia with Hypercalcemia Caused by SqualelneⓇ Intake by Force

Journal of the Korean Pediatric Society 1997;40(12):1745-1749.
Published online December 15, 1997.
A Case of Lipoid Pneumonia with Hypercalcemia Caused by SqualelneⓇ Intake by Force
Young Kyoun Kim, Ho Suk Kang, Seung Cheol Lee, Chong Guk Lee, Sang Woo Kim
Department of Pediatrics, Inje University Seoul Paik Hospital, Seoul, Korea
고칼슘 혈증을 동반한 지방성 폐렴 1례 보고
김영균, 강호석, 이승철, 이종국, 김상우
인제대학교 의과대학 서울백병원 소아과
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.
Key Words: Lipoid pneumonia, SqualeneⓇ, , Hypercalcemia, Chest CT


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