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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Autores principales: Li Yan Sandra Hui, Xin Min Cheng, Ing Xiang Soo, Su Ying Low
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Lenguaje:EN
Publicado: Wiley 2021
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic cystic lung disease
lung nodules
lymphangioleiomyomatosis
multifocal micronodular pneumocyte hyperplasia
tuberous sclerosis complex
Diseases of the respiratory system
RC705-779
spellingShingle 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 AT liyansandrahui recurrentpneumothoraceswithdiffusesmallgroundglassandsolidnodules
AT xinmincheng recurrentpneumothoraceswithdiffusesmallgroundglassandsolidnodules
AT ingxiangsoo recurrentpneumothoraceswithdiffusesmallgroundglassandsolidnodules
AT suyinglow recurrentpneumothoraceswithdiffusesmallgroundglassandsolidnodules
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