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KMID : 0388419990090010149
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Konkuk Journal of Medical Sciences
1999 Volume.9 No. 1 p.149 ~ p.156
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Radiologic Findings of Pulmonary Tuberculosis in Elderly Patients (older than 60 years)
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Park Jeong-Hee
Jin Yong-Hyeon
Lim Jong-Nam
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Abstract
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In the elderly patients, incidence of pulmonary tuberculosis is very high because of the decreased function of the body immune system and combined diseases. We analysed radiographic findings of 51 patients with pulmonary tuberculosis to compare with the typical findings of reactivation pulmonary tuberculosis in the adult over 60 years old. The typical location of reactivation pulmonary tuberculosis is the apicoposterior segment of the upper lobe and the superior segment of the lower lobe. But in elderly patients of our study, 39cases(76%) showed lesions also in atypical location such as the
anterior segment of the upper lobe, the middle lobe, or the basal segments of the lower lobe. Also 36cases(72%) showed multilobar extents, 30cases(59%) showed unusual findings and 26cases(52%) showed multiple cavities and in 19 cases(38%), differential diagnosis with lung cancer was difficult. Especially in patients with diabetes mellitus, involvement of the anterior segment of the upper lobe was significantly high compared with the patients without DM.
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KEYWORD
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thorax radiography, lung inflammation, tuberculosis pulmonary
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