Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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Multiple Small Nodular Lung Lesions with Severe Dyspnea

심한 호흡곤란을 보인 다발성 소결절성 폐질환

  • Yang, Suck-Chul (Department of Internal Medicine, College of Medicine, Hanyang University) ;
  • Lee, Kyung-Sang (Department of Internal Medicine, College of Medicine, Hanyang University) ;
  • Yoon, Ho-Joo (Department of Internal Medicine, College of Medicine, Hanyang University) ;
  • Shin, Dong-Ho (Department of Internal Medicine, College of Medicine, Hanyang University) ;
  • Park, Sung-Soo (Department of Internal Medicine, College of Medicine, Hanyang University) ;
  • Lee, Jung-Hee (Department of Internal Medicine, College of Medicine, Hanyang University) ;
  • Hahm, Shee-Young (Department of Thoracic Surgery, College of Medicine, Hanyang University) ;
  • Lee, Chul-Burm (Department of Thoracic Surgery, College of Medicine, Hanyang University)
  • 양석철 (한양대학교 의과대학 내과학교실) ;
  • 이경상 (한양대학교 의과대학 내과학교실) ;
  • 윤호주 (한양대학교 의과대학 내과학교실) ;
  • 신동호 (한양대학교 의과대학 내과학교실) ;
  • 박성수 (한양대학교 의과대학 내과학교실) ;
  • 이정희 (한양대학교 의과대학 내과학교실) ;
  • 함시영 (한양대학교 의과대학 흉부외과학교실) ;
  • 이철범 (한양대학교 의과대학 흉부외과학교실)
  • Published : 1996.04.30
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Abstract

Diffuse panbronchiolitis is a chronic inflammatory lung disease of unknown etiology which is characterized by chronic airflow limitation and airway inflammation, predominantly localized in the respiratory bronchioles with infiltration of inflammatory cells, and has typical clinical, radiological and pathological features. Obstructive respiratory functional impairment, occasional symptoms of wheezing, and also cough and sputum resemble the feature of emphysema, bronchial asthma, or chronic bronchitis, respectively. We experienced a case of pathologically proven advanced diffuse panbronchiolitis in a 55-year-old man with productive cough and exertional dyspnea. The chest radiography showed multiple tiny nodular densities on whole lung fields. It was confirmed by thoracoscopy-guided lung biopsy and the patient was improved after initiation of treatment with low-dose erythromycin.

저자들은 특징적인 임상 증상과 함께 전형적인 흉부 x-선 및 고해상 흉부 전산화 단층 촬영을 보이는 미만성 법세기관지염 환자에서 흉강경을 이용한 폐생검으로 확진하여 erythromycin 소량 투여로 임상적 효과를 얻은 1예를 문헌 고찰과 함께 보고는 바이다.

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