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KMID : 0383820090670040364
Tuberculosis and Respiratory Diseases
2009 Volume.67 No. 4 p.364 ~ p.368
A Case of Bronchiolitis Interstitial Pneumonitis
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
Abstract
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.
KEYWORD
Interstitial lung diseases, Bronchiolitis, Bronchiolitis obliterans
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