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Postgraduate Education Corner: PULMONARY AND CRITICAL CARE PEARLS |

A Young Woman With Pulmonary Hemorrhage and Hypoxic Respiratory Failure

Rakesh Vishwanath Alva, MD, FCCP; Wesam “Jake” Yacoub, MD
Author and Funding Information

Correspondence to: Rakesh Vishwanath Alva, MD, FCCP, LeBauer HealthCare, 520 N Elam Ave, Greensboro, NC 27403; e-mail: rakesh.alva@mosescone.com


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestjournal.org/site/misc/reprints.xhtml).


© 2010 American College of Chest Physicians


Chest. 2010;137(2):484-487. doi:10.1378/chest.09-1058
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Extract

A 22-year-old African-American exotic dancer presented with transient loss of consciousness. She described dyspnea on exertion and hemoptysis for 3 days. For the past 3 months, she had episodes of nausea and vomiting. She had no prior medical or significant family history. She smoked about a pack of cigarettes per day and consumed alcohol socially. She denied intravenous drug use or multiple sexual partners.

EllenbogenRRubinLInjectable fluid silicone therapy. Human morbidity and mortalityJAMA19752343308309ChastreJBassetFViauFAcute pneumonitis after subcutaneous injections of silicone in transsexual menN Engl J Med198330813764767ChastreJBrunPSolerPAcute and latent pneumonitis after subcutaneous injections of silicone in transsexual menAm Rev Respir Dis19871351236240LaiYFChaoTYWongSLAcute pneumonitis after subcutaneous injections of silicone for augmentation mammaplastyChest1994106411521155ChungKYKimSHKwonIHClinicopathologic review of pulmonary silicone embolism with special emphasis on the resultant histologic diversity in the lung–a review of five casesYonsei Med J2002432152159RosioreanuABrusca-AugelloGTAhmedQAKatzDSCT visualization of silicone-related pneumonitis in a transsexual manAJR Am J Roentgenol20041831248249SchmidATzurALeshkoLKriegerBPSilicone embolism syndrome: a case report, review of the literature, and comparison with fat embolism syndromeChest2005127622762281[Review]NarinsRSBeerKLiquid injectable silicone: a review of its history, immunology, technical considerations, complications, and potentialPlast Reconstr Surg20061183 Suppl77S84SHartocollisADavidsonCA cheap, fast and possibly deadly route to beautyThe New York Times2009April 16

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