Recurrent pneumothoraces with diffuse small ground‐glass and solid nodules
Abstract Multifocal micronodular pneumocyte hyperplasia (MMPH) is the lesser known pulmonary manifestation of tuberous sclerosis. It manifests radiologically as diffuse small ground‐glass and solid nodules. Accurate diagnosis is essential as it can be mistaken for miliary tuberculosis or malignant l...
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Wiley
2021
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oai:doaj.org-article:b3d1233ffcf2454892b811ded6386e382021-11-25T13:46:30ZRecurrent pneumothoraces with diffuse small ground‐glass and solid nodules2051-338010.1002/rcr2.870https://doaj.org/article/b3d1233ffcf2454892b811ded6386e382021-12-01T00:00:00Zhttps://doi.org/10.1002/rcr2.870https://doaj.org/toc/2051-3380Abstract Multifocal micronodular pneumocyte hyperplasia (MMPH) is the lesser known pulmonary manifestation of tuberous sclerosis. It manifests radiologically as diffuse small ground‐glass and solid nodules. Accurate diagnosis is essential as it can be mistaken for miliary tuberculosis or malignant lesions which necessitates specific treatment. Constellation of radiological features such as multicentric disease at onset and stability over time can help to distinguish MMPH from its differentials. Histologically, MMPH is characterized by hamartomatous proliferation of type II pneumocytes with a lack of high nuclear to cytoplasmic ratio. MMPH confers a benign prognosis unlike its differentials. Therefore, accurate diagnosis is paramount in ensuring appropriate care is delivered. Here, we describe the radiological and histological features of MMPH in a patient with genetically proven tuberous sclerosis complex and co‐existing lymphangioleiomyomatosis.Li Yan Sandra HuiXin Min ChengIng Xiang SooSu Ying LowWileyarticlecystic lung diseaselung noduleslymphangioleiomyomatosismultifocal micronodular pneumocyte hyperplasiatuberous sclerosis complexDiseases of the respiratory systemRC705-779ENRespirology Case Reports, Vol 9, Iss 12, Pp n/a-n/a (2021) |
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DOAJ |
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cystic lung disease lung nodules lymphangioleiomyomatosis multifocal micronodular pneumocyte hyperplasia tuberous sclerosis complex Diseases of the respiratory system RC705-779 |
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cystic lung disease lung nodules lymphangioleiomyomatosis multifocal micronodular pneumocyte hyperplasia tuberous sclerosis complex Diseases of the respiratory system RC705-779 Li Yan Sandra Hui Xin Min Cheng Ing Xiang Soo Su Ying Low Recurrent pneumothoraces with diffuse small ground‐glass and solid nodules |
description |
Abstract Multifocal micronodular pneumocyte hyperplasia (MMPH) is the lesser known pulmonary manifestation of tuberous sclerosis. It manifests radiologically as diffuse small ground‐glass and solid nodules. Accurate diagnosis is essential as it can be mistaken for miliary tuberculosis or malignant lesions which necessitates specific treatment. Constellation of radiological features such as multicentric disease at onset and stability over time can help to distinguish MMPH from its differentials. Histologically, MMPH is characterized by hamartomatous proliferation of type II pneumocytes with a lack of high nuclear to cytoplasmic ratio. MMPH confers a benign prognosis unlike its differentials. Therefore, accurate diagnosis is paramount in ensuring appropriate care is delivered. Here, we describe the radiological and histological features of MMPH in a patient with genetically proven tuberous sclerosis complex and co‐existing lymphangioleiomyomatosis. |
format |
article |
author |
Li Yan Sandra Hui Xin Min Cheng Ing Xiang Soo Su Ying Low |
author_facet |
Li Yan Sandra Hui Xin Min Cheng Ing Xiang Soo Su Ying Low |
author_sort |
Li Yan Sandra Hui |
title |
Recurrent pneumothoraces with diffuse small ground‐glass and solid nodules |
title_short |
Recurrent pneumothoraces with diffuse small ground‐glass and solid nodules |
title_full |
Recurrent pneumothoraces with diffuse small ground‐glass and solid nodules |
title_fullStr |
Recurrent pneumothoraces with diffuse small ground‐glass and solid nodules |
title_full_unstemmed |
Recurrent pneumothoraces with diffuse small ground‐glass and solid nodules |
title_sort |
recurrent pneumothoraces with diffuse small ground‐glass and solid nodules |
publisher |
Wiley |
publishDate |
2021 |
url |
https://doaj.org/article/b3d1233ffcf2454892b811ded6386e38 |
work_keys_str_mv |
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_version_ |
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