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KMID : 0383819750220030135
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Tuberculosis and Respiratory Diseases
1975 Volume.22 No. 3 p.135 ~ p.140
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A Case of Fibrosing Alveolitis combined with Pulmonary Tuberculosis
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±è¿µÇö(ÐÝç´úè)/Young Hyoun Kim
À̵¿ÈÄ(×ÝÔÔý§)/Á¶¼º¿î(ðáá¤ê£)/±è°¼®(ÐÝ˧à´)/ÀÌâ¿î(ì°óãê¡)/ÀÌÁ¤Èñ(×Ýïáý÷)/±èÃá¿ø(ÑÑõðêª)/±è±âÈ«(ÑÑѹûó)/Dong Hoo Lee/Sung Woon Cho/Kang Sueck Kim/Chang Woon Lee/Jung Hee Lee/Choon Won Kim/Kee Hong Kim
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Abstract
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A case of fibrosing alveolitis associate4 with pulmonary tuberculosis is presented. This
is a case of 50-year-old woman admitted with dyspnea on exertion and fatigue for 8
months. She has clubbing fingers.
Physical examination disclosed crepitation sounds throughout over the right lung field.
Chest films show reticular and honey¡¤comb appearance in the right upper and lower
lobes. A chest film taken 6 months prior to this admission showed changes identical to
those of admission chest films.
Lung scans with 99mTc reveals perfusion defect in the right lung field
except the base of the right lower lobe and the middle lobe.
The routine laboratory examinations contribute little in making the diagnosis except
for bacteriologic smear and culture. The sputum reveals A.F.B. on smear and M.
tuberculosae.
Percutaneous needle biopsy of the lung shows diffuse interstitial fibrosis associated
with granulomatous inflammation. Acid-fast bacilli are demonstrated in the cytoplasm of
Langhan's giant cells and epitheloid cells.
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KEYWORD
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