{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T17:19:57Z","timestamp":1765905597835,"version":"3.48.0"},"reference-count":0,"publisher":"Tunisian Society of Medical Sciences","issue":"2","license":[{"start":{"date-parts":[[2025,2,1]],"date-time":"2025-02-01T00:00:00Z","timestamp":1738368000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Tunis Med"],"abstract":"<jats:p>Introduction\u00a0: La pneumonie lipidique est une affection rare de l\u2019adulte dont la fr\u00e9quence augmente avec l\u2019\u00e2ge. La pneumonie lipidique exog\u00e8ne r\u00e9sulte de la p\u00e9n\u00e9tration, le plus souvent par inhalation, dans le parenchyme pulmonaire, de substances huileuses.\nObjectif\u00a0: \u00c9tudier les pr\u00e9sentations clinico-radiologiques des pneumonies lipidiques exog\u00e8nes et pr\u00e9ciser les strat\u00e9gies th\u00e9rapeutiques.\nM\u00e9thodes\u00a0: Nous avons proc\u00e9d\u00e9 \u00e0 une \u00e9tude monocentrique, r\u00e9trospective d\u2019observations de patients suivis dans le service de Pneumologie du CHU H\u00e9di Chaker de Sfax durant la p\u00e9riode entre 2004 et 2023. Le diagnostic de pneumonie lipidique exog\u00e8ne a \u00e9t\u00e9 confirm\u00e9e par un lavage broncho-alv\u00e9olaire avec coloration OilRed O positive ou par la pr\u00e9sence des histiocytes spumeux charg\u00e9s de lipides \u00e0 l\u2019examen anatomopathologique.\nR\u00e9sultats\u00a0: Nous avons collig\u00e9 9 dossiers de patients d\u2019\u00e2ge moyen de 46 ans. La dyspn\u00e9e et la toux ont \u00e9t\u00e9 les sympt\u00f4mes r\u00e9v\u00e9lateurs les plus fr\u00e9quents. La tomodensitom\u00e9trie thoracique a objectiv\u00e9 des images en verre d\u00e9poli dans 5 cas, des condensations parenchymateuses dans 3 cas et un crazy paving dans 3 cas. Les facteurs favorisants ont \u00e9t\u00e9 l\u2019exposition professionnelle \u00e0 un lipide dans 5 cas et la consommation d\u2019un produit lipidique dans 4 cas. Un reclassement professionnel et une d\u00e9claration de maladie professionnelle a \u00e9t\u00e9 pr\u00e9conis\u00e9e pour 4 patients Une corticoth\u00e9rapie syst\u00e9mique a \u00e9t\u00e9 indiqu\u00e9e chez 6 patients.\nConclusion\u00a0: La pneumonie lipidique exog\u00e8ne constitue une entit\u00e9 nosologique de rencontre rare. Ce travail met en lumi\u00e8re le diagnostic difficile en raison d\u2019une pr\u00e9sentation clinico-radiologique parfois trompeuse en l\u2019absence d\u2019exposition \u00e9voqu\u00e9e d\u2019embl\u00e9e.<\/jats:p>","DOI":"10.62438\/tunismed.v103i2.5261","type":"journal-article","created":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T17:18:41Z","timestamp":1765905521000},"source":"Crossref","is-referenced-by-count":0,"title":["Aspects cliniques, radiologiques et th\u00e9rapeutiques des pneumonies lipidiques exog\u00e8nes"],"prefix":"10.62438","volume":"103","author":[{"given":"Najla","family":"Bahloul","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariem","family":"Ayadi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rahma","family":"Gargouri","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Siwar","family":"Bahri","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nadia","family":"Moussa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sameh","family":"Msaad","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samy","family":"Kammoun","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"31112","published-online":{"date-parts":[[2025,2,1]]},"container-title":["La Tunisie M\u00e9dicale"],"original-title":[],"deposited":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T17:18:42Z","timestamp":1765905522000},"score":1,"resource":{"primary":{"URL":"https:\/\/latunisiemedicale.com\/index.php\/tunismed\/article\/view\/5261"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,1]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2025,2,1]]}},"URL":"https:\/\/doi.org\/10.62438\/tunismed.v103i2.5261","relation":{},"ISSN":["2724-7031","0041-4131"],"issn-type":[{"value":"2724-7031","type":"electronic"},{"value":"0041-4131","type":"print"}],"subject":[],"published":{"date-parts":[[2025,2,1]]}}}