open access

Vol 81, No 3 (2013)
CASE REPORTS
Submitted: 2013-04-19
Accepted: 2013-04-19
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Severe hypoxemic respiratory insufficiency in a patient with hepato-pulmonary syndrome coexisting with interstitial lung disease of unknown etiology

Katarzyna Gorzkowska-Pasik, Elżbieta Wiatr, Barbara Burakowska, Urszula Nowicka, Jarosław Kober, Przemysław Malong, Piotr Pasik, Krystyna Folcik
Pneumonol Alergol Pol 2013;81(3):267-272.

open access

Vol 81, No 3 (2013)
CASE REPORTS
Submitted: 2013-04-19
Accepted: 2013-04-19

Abstract

The coexistence of the interstitial lung disease and respiratory failure is rarely associated with extrapulmonary pathology. In patients with liver cirrhosis, hypoxemia may develop in the course of hepato-pulmonary syndrome (HPS), but radiological pathology seen in the course of HPS is of vascular origin, and thus typically not classified as interstitial lung disease. We present a patient with severe hypoxemic respiratory insufficiency in whom hepato-pulmonary syndrome coexisted with interstitial lung disease of unknown etiology. The mechanisms of hypoxemia in the course of hepatic diseases and reasons of possible coincidence of lung and hepatic pathology are discussed.

Abstract

The coexistence of the interstitial lung disease and respiratory failure is rarely associated with extrapulmonary pathology. In patients with liver cirrhosis, hypoxemia may develop in the course of hepato-pulmonary syndrome (HPS), but radiological pathology seen in the course of HPS is of vascular origin, and thus typically not classified as interstitial lung disease. We present a patient with severe hypoxemic respiratory insufficiency in whom hepato-pulmonary syndrome coexisted with interstitial lung disease of unknown etiology. The mechanisms of hypoxemia in the course of hepatic diseases and reasons of possible coincidence of lung and hepatic pathology are discussed.

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Keywords

liver cirrhosis, hepato-pulmonary syndrome, interstitial lung disease, respiratory failure

About this article
Title

Severe hypoxemic respiratory insufficiency in a patient with hepato-pulmonary syndrome coexisting with interstitial lung disease of unknown etiology

Journal

Advances in Respiratory Medicine

Issue

Vol 81, No 3 (2013)

Pages

267-272

Bibliographic record

Pneumonol Alergol Pol 2013;81(3):267-272.

Keywords

liver cirrhosis
hepato-pulmonary syndrome
interstitial lung disease
respiratory failure

Authors

Katarzyna Gorzkowska-Pasik
Elżbieta Wiatr
Barbara Burakowska
Urszula Nowicka
Jarosław Kober
Przemysław Malong
Piotr Pasik
Krystyna Folcik

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