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Revista Colombiana de NeumologíaVolumen 24 Número 1Tabla 1. Causas de patrón escanográfi co de adoquín desordenado.InfecciosasNeumonía por Streptococcus pneumoniae (5), Mycoplasma pneumoniae (6), Pneumocystis jirovecii (6, 7),leptospira (8), tuberculosis (6, 7), virus H1N1 (9, 10), metaneumovirus (11), hantavirus (12)NeoplásicasCarcinoma bronquioloalveolar (13), sarcoma de Kaposi (14), micosis fungoides (15), diseminación linfangítica (6, 7)Enfermedades pulmonares intersticialesNeumonía intersticial inespecífi ca (16, 17), sarcoidosis (6, 7), neumonía eosinofílica crónica (6, 7), neumonitis porradiación (6, 7), neumonía criptogénica en organización (6, 7), proteinosis alveolar (18-20)PostrasplanteSíndrome de neumonía idiopática (21)Infecciosas (22): adenovirus, herpes, infl uenza, citomegalovirus, virus sincitial respiratorio, toxoplasmosisOtrasNeumonía lipoidea exógena (23)Microlitiasis alveolar (24-25)Aspiración de bario (26)Casi ahogamiento (27)Enfermedad de Niemann-Pick (28)BIBLIOGRAFÍA1. Hansell DM, Bankier AA, MacMahon H, McLoud TC, Müller NL,Remy J. Fleischner Society: glossary of terms for thoracic imaging.Radiology 2008; 246: 697-722.2. Rossi SE, Erasmus JJ, Volpacchio M, Franquet T, Castiglioni T,McAdams HP. “Crazy-paving” pattern at thin-section CT of thelungs: radiologic-pathologic overview. Radiographics 2003; 23:1509-19.3. Lee CH. The crazy-paving sign. Radiology 2007; 243: 905-6.4. De Wever W, Meersschaert J, Coolen J, Verbeken E, VerschakelenJA. The crazy-paving pattern: a radiological-pathologicalcorrelation. Insights Imaging 2011; 2: 117-132.5. Ngo MH, Chen HT, Stark P. Crazy-paving appearance associatedwith Streptococcus pneumoniaesepsis. Semin Respir Infect. 2003;18: 220-2.6. Johkoh T, Itoh H, Müller NL, Ichikado K, Nakamura H, Ikezoe J,Akira M, Nagareda T. Crazy-paving appearance at thin-sectionCT: spectrum of disease and pathologic findings. Radiology 1999;211: 155-60.7. Murayama S, Murakami J, Yabuuchi H, Soeda H, Masuda K.“Crazy paving appearance” on high resolution CT in variousdiseases. J Comput Assist Tomogr. 1999; 23: 749-52.8. Marchiori E, Gasparetto TD, Escuissato DL, Zanetti G. Leptospirosisof the lung presenting with crazy-paving pattern: correlationbetween the high-resolution CT and pathological fi ndings. RevPort Pneumol. 2008; 14: 887-91.9. Marchiori E, Zanetti G, D’Ippolito G, Hochhegger B. Crazy-pavingpattern on HRCT of patients with H1N1 pneumonia. Eur J Radiol2011; 80: 573-5.10. Henzler T, Meyer M, Kalenka A, Alb M, Schmid-Bindert G, BartlingS, et al. Image findings of patients with H1N1 virus pneumonia andacute respiratory failure. Acad Radiol. 2010; 17: 681-5.11. Wong CK, Lai V, Wong YC. Comparison of initial high resolutioncomputed tomography features in viral pneumonia between metapneumovirusinfection and severe acute respiratory syndrome.Eur J Radiol. 2012; 81: 1083-7.12. Gonçalves FG, Jovem CL, Isac VM, Neves PO. High-resolutioncomputed tomography fi ndings in hantavirus pulmonary syndrome.J Thorac Imaging. 2010; 25: W33-5.13. Patsios D, Roberts HC, Paul NS, Chung T, Herman SJ, Pereira A,Weisbrod G. Pictorial review of the many faces of bronchioloalveolarcell carcinoma. Br J Radiol. 2007; 80: 1015-23.14. da Silva Filho FP, Marchiori E, Valiante PM, Escuissato DL, GasparettoTD. AIDS-related Kaposi sarcoma of the lung presentingwith a “crazy-paving” pattern on high-resolution CT: imaging andpathologic fi ndings. J Thorac Imaging 2008; 23: 135-7.15. Sverzellati N, Poletti V, Chilosi M, Casoni G, Hansell D, ZompatoriAM. The crazy-paving pattern in granulomatous mycosisfungoides: high-resolution computed tomography-pathologicalcorrelation. J Comput Assist Tomogr. 2006; 30: 843-5.16. Coche E, Weynand B, Noirhomme P, Pieters T. Non-specifi cinterstitial pneumonia showing a “crazy paving” pattern on highresolution CT. Br J Radiol. 2001; 74: 189-91.17. Hisada T, Ishizuka T, Tomizawa Y, Iwasaki Y, Kawata T, DobashiK, Mori M. “Crazy-paving” appearance in systemic lupus erythematosus.Intern Med. 2006; 45: 29-30.18. Frazier AA, Franks TJ, Cooke EO, Mohammed TL, Pugatch RD,Galvin JR. From the archives of the AFIP: pulmonary alveolarproteinosis. Radiographics. 2008; 28: 883-99.19. Ishii H, Trapnell BC, Tazawa R, Inoue Y, Akira M, Kogure Y, et al.Japanese Center of the Rare Lung Disease Consortium. Comparativestudy of high-resolution ct findings between autoimmuneand secondary pulmonary alveolar proteinosis. Chest 2009; 136:1348-55.48
Patrón en adoquín desordenado (Crazy paving)Manzano y Celis20. Souza CA, Marchiori E, Gonçalves LP, Meirelles G de S, ZanettiG, Escuissato DL, et al. Comparative study of clinical, pathologicaland HRCT fi ndings of primary alveolar proteinosis and silicoproteinosis.Eur J Radiol. 2012; 81: 371-8.21. Gasparetto TD, Marchiori E, Guimarães MB, Escuissato DL,Zanetti G. Idiopathic pneumonia syndrome after bone marrowtransplantation presenting with “crazy-paving” pattern on highresolutioncomputed tomography: a case report. Cases J. 2008;1: 234.22. Marchiori E, Escuissato DL, Gasparetto TD, Considera DP, FranquetT. “Crazy-paving” patterns on high-resolution CT scans inpatients with pulmonary complications after hematopoietic stemcell transplantation. Korean J Radiol. 2009; 10: 21-4.23. Franquet T, Giménez A, Bordes R, Rodríguez-Arias JM,Castella J. The crazy-paving pattern in exogenous lipoidpneumonia: CT-pathologic correlation. AJR Am J Roentgenol1998; 170: 315-7.24. Roca Vanaclocha Y, Narváez JA, Pozuelo C, Monés L. Alveolarmicrolithiasis: an uncommon cause of the crazy paving pattern.Radiologia 2008; 50: 75-8.25. Gasparetto EL, Tazoniero P, Escuissato DL, Marchiori E, Frare ESilva RL, Sakamoto D. Pulmonary alveolar microlithiasis presentingwith crazy-paving pattern on high resolution CT. Br J Radiol2004; 77: 974-6.26. Akata S, Park J, Shindo H, Yoshimura M, Kakizaki D, Abe K.Barium aspiration showing crazy-paving appearance on highresolutioncomputed tomography. Australas Radiol 2007; 51(Suppl): B235-7.27. Kim KI, Lee KN, Tomiyama N, Johkoh T, Ichikado K, Kim CW,Lee SH. Near drowning: thin-section CT fi ndings in six patients.J Comput Assist Tomogr. 2000; 24: 562-6.28. Castañón Martínez R, Fernández-Velilla Peña M, GonzálezMontaño MV, Gómez L, Torres Sánchez MI. Lung affectation inan adult patient with Niemann-Pick disease typeB. Arch Bronconeumol2012; 48: 213-5.49
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