Canan DOĞAN, Mine GAYAF, Fatmanur ÇELİK BAŞARAN

Sarma Tütün Kullanımı ile İlişkili Pulmoner Langerhans Hücreli Histiyositozis

Pulmoner Langerhans hücreli histiositozis daha çok sigara içen genç erişkinlerdegörülen etiyolojisi bilinmeyen nadir bir hastalıktır. Yirmi dokuz yaşında erkekhasta 3 aydır devam eden nefes darlığı ve öksürük yakınması ile başvurdu. 3 yıldırsarma tütün kullanıyordu. Çekilen yüksek çözünürlüklü toraks bilgisayarlıtomografisinde (YÇBT) her iki akciğerde yaygın, üst ve orta zonlarda daha belirginbazallerde kısmen daha az izlenen, içinde yer yer kaviteleşmeler gelişmiş düşükdansiteli mikronodüller izlendi. Mini torakotomi ile wedge rezeksiyon yapıldı.Patolojik tanı Pulmoner Langerhans Hücreli Histiyositozis olarak rapor edildi.Tütün kullanımının bıraktırılmasını takiben klinik ve radyolojik olarak belirginregresyon izlendi.

Pulmonary Langerhans Cell Histiocytosis Relating Wrapped Tobacco

Pulmonary Langerhans cell histiocytosis is a rare idiopathic disorder mostly seen in young adults smokers. A 29-year-old male patient referred with the complaints of cough and shortness of breath for the last three months. He has been smoking wrapped tabacco for three years. In high resolution computed tomography, low density micronodules which has some cavities are observed in both lung lobes. It has been observed widely and distinctly in upper and middle zones but relatively less in basal parts. A wedge resection was performed by mini-thoracotomy. The histopathological diagnosis was Pulmonary Langerhans Cell Histiocytosis. A significant regression clinically and radiologically observed upon making the patient quit tobacco.

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