title: [Paroxysmal melanoptysis secondary to the cavitation of pulmonary pneumoconiosis conglomerate].
abstract: Progressive massive fibrosis (PMF) secondary to pneumoconiosis involves the formation of fibrotic masses that eventually cause death from multiple complications. We present a rare but potentially serious complication in a patient with coal pneumoconiosis with PMF, in whom the appearance of paroxysmal melanoptysis was attributed to the cavitation of one of the pneumoconiotic masses. We emphasize the need for differential diagnosis to exclude other more common causes, as well as the use of bronchoscopy for diagnosis and confirmation. Strict control is needed to prevent possible respiratory failure when melanoptysis is massive.
authors.affiliation: Sección de Neumología, Hospital General, Albacete.
authors.forename: M
authors.initials: M
authors.lastname: Haro
authors.forename: M
authors.initials: M
authors.lastname: Vizcaya
authors.forename: E
authors.initials: E
authors.lastname: Sánchez
authors.forename: R
authors.initials: R
authors.lastname: Coloma
authors.forename: N
authors.initials: N
authors.lastname: Loeches
authors.forename: M
authors.initials: M
authors.lastname: Arévalo
mesh_terms: D000368:Aged; D001999:Bronchoscopy; D003031:Coal; D003032:Coal Mining; D006801:Humans; D008297:Male; D011009:Pneumoconiosis / Q000150:complications* / Q000175:diagnosis / Q000209:etiology; D013902:Radiography, Thoracic; D013183:Sputum; D014057:Tomography, X-Ray Computed
chemical_list: D003031:Coal
vernacular_title: Melanoptisis paroxística secundaria a la cavitación de un conglomerado neumoconiótico pulmonar.