Vücut Geliştiricide İntramuskuler Synthol Enjeksiyonuna Bağlı Lipoid Pnömoni

Öz

Bu makalede kas dolgusu amacıyla sentetik bir yağ türevi olan “Synthol” un tekrarlayan intramuskuler kullanımı nedeniyle gelişen kronik eksojen lipoid pnömoni olgusu sunulmuştur. Göğüs kaslarını büyütmek için Synthol kullanan 40 yaşında erkek hasta, bir yıl içinde ilerleyen nefes darlığı ile birlikte polikliniğimize başvurdu. Toraks tomografisinde interstisyel akciğer hastalığı ile uyumlu retikülasyonlar ve septal kalınlaşmalar izlenmekteydi. Hastaya bronkoskopi yapıldı. Bronkoalveolar lavaj ve transbronşiyal biyopsi (TBB) alındı. TBB'nin histopatolojik incelemesinde, intraalveoler ve interstisyel yağlı makrofajlar, yağ partikülleri etrafındaki dev hücreler ve ekstraselüler yağ partikülleri gözlendi. Örnek “lipoid pnömoni” olarak raporlandı. Bizim bilgimize göre Synthol'un intramusküler kullanımına bağlı ekzojen lipoid pnömonisi şimdiye kadar bildirilmemiştir ve olgumuz literatürdeki ilk olgudur.

Anahtar Kelimeler

• Synthol,Lipoid Pnömoni,Sentetik Yağ,Vücut Geliştirme

Exogenous Lipoid Pneumonia Due To Intramuscular Injection of Synthol in a Bodybuilder

Öz

We report a case of chronic exogenous lipoid pneumonia that developed due to recurrent intramuscular use of “Synthol”, a synthetic oil derivative, for muscle filling. 40-year-old man, who had used Synthol to enlarge his pectoral muscles, was admitted to the chest diseases polyclinic with shortness of breath progressing within a year. On computerized tomography of thorax there were reticulations and septal thickenings consistent with interstitial lung disease. The patient underwent bronchoscopy. Bronchoalveolar lavage and transbronchial biopsy (TBB) were performed. In the histopathologic study of TBB, intraalveolar and interstitial fatty macrophages, giant cells around fat particles and extracellular fat particles were observed and the specimen was reported as "lipoid pneumonia". According to our knowledge, exogenous lipoid pneumonia due to intramuscular use of Synthol has not been reported heretofore and this is the first case in the literature.

Anahtar Kelimeler

• Bodybuilder,Lipoid Pneumonia,Synthetic Oil,Synthol

Kaynakça

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