KMID : 0383820090670040364
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Tuberculosis and Respiratory Diseases 2009 Volume.67 No. 4 p.364 ~ p.368
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A Case of Bronchiolitis Interstitial Pneumonitis
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Chi Su-Young
Ryu Kyoung-Ho Lim Dae-Hun Shin Hong-Joon Ban Hee-Jung Oh In-Jae Kwon Yong-Soo Kim Kyu-Sik Lim Sung-Chul Kim Young-Chul Choi Yoo-Duk Song Sang-Yun Sun Hyun-Ju
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Abstract
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Bronchiolitis interstitial pneumonitis (BIP), an unclassified and newly described interstitial pneumonia, has a combined feature of prominent bronchiolitis, interstitial inflammation, and fibrosis. It is distinct from bronchiolitis obliterans or bronchiolitis obliterans organizing pneumonia (BOOP). BIP has a better prognosis than common cases of interstitial pneumonia. However, BIP has a poorer prognosis than BOOP. BIP¡¯s response to corticosteroids is not as successful as BOOP¡¯s response to this treatment. We encountered the case of a 31-year-old woman with BIP with an initial presentation of dyspnea and a cough that had lasted for 3 months. The patient¡¯s chest CT scan demonstrated patchy ground glass opacities and multiple ill-defined centrilobular nodules in both lungs, suggesting military tuberculosis or nontuberculous mycobacterial infection. A video-assisted thoracoscopic lung biopsy resulted in the diagnosis of BIP. Clinical symptoms, pulmonary lesions, and pulmonary function tests were improved after oral glucocorticoid therapy.
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KEYWORD
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Interstitial lung diseases, Bronchiolitis, Bronchiolitis obliterans
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