Pulmonary Papillomatosis: a Rare Case of Recurrent Respiratory Papillomatosis Presenting with Multiple Nodular and Cavitary Lesions
Abstract: Pulmonary
papillomatosis is an extremely rare variant of recurrent respiratory
papillomatosis which is hard to treat, causes prolonged morbidity, and may
transform into malignant disorder in several cases. Since the symptoms and
radiologic findings are not specific, pulmonary papillomatosis is often being
misdiagnosed. Although considered benign, pulmonary papillomatosis carries the
most significant mortality. This is a case report of a 26 year old man who
complained recurrent chronic cough, slight hemoptoe, occasional pleuritic pain,
and several episodes of fever. He also had laryngeal papillomatosis and
undergone serial endoscopic resection since his childhood. Multiple nodular and
cavitary lesions, some with air fluid level, were found in both lung fields at
chest radiography and scintigraphy. Diagnosis of pulmonary papillomatosis
complicated with secondary infection was made after endoscopic and histologic
study.
Key words: pulmonary papillomatosis, recurrent respiratory
papillomatosis, nodular lesion, cavitary lesion
Author: Diah Martina, Andree
Kurniawan, Ceva W Pitoyo
Journal Code: jpkedokterangg140327
