RT Journal Article
SR Electronic
T1 Diffuse pulmonary fibrosis and hiatus hernia
JF Thorax
JO Thorax
FD BMJ Publishing Group Ltd and British Thoracic Society
SP 300
OP 305
DO 10.1136/thx.26.3.300
VO 26
IS 3
A1 J. E. G. Pearson
A1 R. S. E. Wilson
YR 1971
UL http://thorax.bmj.com/content/26/3/300.abstract
AB Six patients presenting with initially obscure pulmonary fibrosis are described. Reasons are given for attributing the condition to chronic aspiration pneumonitis from gastro-oesophageal reflux in association with hiatus hernia, supported by lung histology in three cases. Study of a further series of 143 cases of hiatus hernia suggests a 4% incidence of this insidious complication in addition to any more acute bronchopulmonary episodes. This possibility should be remembered in the differential diagnosis of any patient with pulmonary fibrosis of doubtful origin, as the advanced condition bears a poor prognosis.