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Gastroesophageal reflux disease and other esophageal abnormalities have often been associated with this disease.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case presentation<\/jats:title><jats:p>We herein report the case of an 83-year-old patient in whom a follow-up chest computed tomography scan, for a lingular consolidation, showed multifocal ground glass and consolidative opacities with areas of low attenuation, suggestive of exogenous lipid pneumonia. The patient had been on piascledine capsules (avocado\/soybean unsaponifiables) for 20\u2009years and had a hiatal hernia with documented gastroesophageal reflux disease. After thorough history taking, no other predisposing factors were found. The diagnosis was confirmed using oil red staining of bronchoalveolar lavage showing lipid-laden macrophages and extracellular lipid droplets.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>To our knowledge, this is the first case of ELP secondary to avocado\/soybean unsaponifiables in the literature.<\/jats:p><\/jats:sec>","DOI":"10.1186\/s12890-019-0997-1","type":"journal-article","created":{"date-parts":[[2019,12,3]],"date-time":"2019-12-03T14:03:02Z","timestamp":1575381782000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["A case report of exogenous lipoid pneumonia associated with avocado\/soybean unsaponifiables"],"prefix":"10.1186","volume":"19","author":[{"given":"Jacques","family":"BOUTROS","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marine","family":"MUZZONE","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"BENZAQUEN","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"LEVRAUT","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0846-9941","authenticated-orcid":false,"given":"Charles-Hugo","family":"MARQUETTE","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fanny","family":"ROCHER","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yann","family":"DIASCORN","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernard","family":"PADOVANI","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V\u00e9ronique","family":"HOFMAN","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sylvie","family":"LEROY","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2019,12,3]]},"reference":[{"issue":"7","key":"997_CR1","doi-asserted-by":"publisher","first-page":"1463","DOI":"10.1183\/09031936.96.09071463","volume":"9","author":"A Gondouin","year":"1996","unstructured":"Gondouin A, Manzoni P, Ranfaing E, Brun J, Cadranel J, Sadoun D, et al. 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