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Vol. 32. Issue 10.
Pages 544-546 (December 1996)
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Vol. 32. Issue 10.
Pages 544-546 (December 1996)
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Neumonitis bilateral tras irradiación localizada en un timoma. Descripción de un caso
Bilateral pneumonitis after local irradiation of a thymoma. A case report
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F. Andreo García*, P. Garro Martínez**, P. Torrabadella de Reynoso**,1, I. Ojanguren Sabán***, X. Esquirol Puig**, E. Mesalles Sanjuán**
* Servicio de Neumología. Hospital Universitari Germans Trias i Pujol. Badalona. Barcelona
** Servicio de Medicina Intensiva. Hospital Universitari Germans Trias i Pujol. Badalona. Barcelona
*** Servicio de Anatomía Patológica. Hospital Universitari Germans Trias i Pujol. Badalona. Barcelona
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Entre las 6-12 semanas postirradiación puede aparecer una neumonitis aguda caracterizada por fiebre, tos y disnea moderada. Más tardíamente, una gran parte de los pacientes presentan una fibrosis confinada al campo irradiado. Se ha destacado recientemente la “neumonitis esporádica por radiación”, alveolitis linfocítica bilateral de etiología autoinmune, que conduce a una respuesta pulmonar generalizada tras la irradiación localizada, de buena evolución. Presentamos un caso de neumonitis precoz postirradiación del tipo “neumonitis esporádica por radiación”, de sorprendente evolución fatal.

Palabras clave:
Neumonitis
Radioterapia
Timoma

Acute pneumonitis characterized by fever, coughing and moderate dyspnea can appear from 6 to 12 weeks after irradiation. Most patients later show signs of fibrosis confined to the irradiated field. An entitity that has been under recent discussion is “radiation-induced sporadic pneumonitis”, a bilateral lymphocytic alveolitis of autoimmune origen that leads to generalized pulmonary response after local irradiation. The prognosis for such cases is good. We report a case of early post-irradiation pneumonitis of the type described, which led unexpectedly to the patient's death.

Key words:
Pneumonitis
Radiotherapy
Thymoma
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Copyright © 1996. Sociedad Española de Neumología y Cirugía Torácica
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