
Correct!
5. Symptomatic treatment only
In a younger population (<60)with DPO, there is a significant risk of progressive loss of lung function. In older patients it more often is a benign radiologic finding predominantly in men with GERD, OSA or other factors predisposing to microaspiration (3,4). There is no specific treatment other than reducing risk factors (3,4). Our patient was treated with an albuterol inhaler since his PFTs suggested asthma. He has remained stable.
References
- Costumbrado J, Ghassemzadeh S. Spontaneous Pneumothorax. In: StatPearls Internet. July 24, 2023. [PubMed]
- Chan ED, Aschner Y. Calcification and ossification of the lungs. UpToDate. Sep 24, 2021. Available at: https://www.uptodate.com/contents/calcification-and-ossification-of-the-lungs (accessed 8/28/23).
- Gruden JF, Green DB, Legasto AC, Jensen EA, Panse PM. Dendriform Pulmonary Ossification in the Absence of Usual Interstitial Pneumonia: CT Features and Possible Association With Recurrent Acid Aspiration. AJR Am J Roentgenol. 2017 Dec;209(6):1209-1215. [CrossRef] [PubMed]
- Nishioka Y, Toyoda Y, Egashira R, et al. Nationwide retrospective observational study of idiopathic dendriform pulmonary ossification: clinical features with a progressive phenotype. BMJ Open Respir Res. 2022 Sep;9(1):e001337. [CrossRef] [PubMed]
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