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KMID : 0604020100250010043
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Korean Journal of Critical Care Medicine
2010 Volume.25 No. 1 p.43 ~ p.47
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A Case of Peripheral T Cell Lymphoma Presenting as Severe Hypoxic Respiratory Failure - A Case Report -
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Choi Joon-Seok
Shin Hong-Joon
Kim Eun-Young
Oh In-Jae
Kim Kyu-Sik
Kim Yu-Il
Lim Sung-Chul
Kim Young-Chul
Choi Yoo-Duk
Sun Hyun-Ju
Kwon Yong-Soo
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Abstract
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We describe here the first known case in Korea of pulmonary involvement with peripheral T cell lymphoma and the patient presented with severe hypoxic respiratory failure. A 57-yr-old man was admitted to our hospital with rapid progression of dyspnea and bilateral diffuse infiltration on a chest radiograph. He received mechanical ventilation and low dose corticosteroid treatment under the suspicion of critical illness-related corticosteroid insufficiency. Transbronchial lung biopsy revealed large atypical lymphoid cells with positivity for CD3+. We diagnosed this patient as having a peripheral T cell lymphoma and we treated him with high dose corticosteroid. His clinical and radiologic findings rapidly improved and then he received a full dose of chemotherapy for the peripheral T cell lymphoma.
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KEYWORD
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corticosteroid, lymphoma, respiratory failure
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