Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Recurrent Pneumonitis Caused by Bojungikgitang (Bu-Zhong-Yi-Qi-Tang)

보중익기탕(補中益氣湯) 복용 후 재발생한 미만성 간질성 폐렴 1예

  • Kim, Seung Gu (Department of Internal Medicine, Paik Hospital, Inje University College of Medicine) ;
  • Kang, Gun Hi (Department of Internal Medicine, Paik Hospital, Inje University College of Medicine) ;
  • Kim, Jun Jae (Department of Internal Medicine, Paik Hospital, Inje University College of Medicine) ;
  • Park, Hyun (Department of Internal Medicine, Paik Hospital, Inje University College of Medicine) ;
  • Baek, Na Na (Department of Internal Medicine, Paik Hospital, Inje University College of Medicine) ;
  • Choi, Sang Bong (Department of Internal Medicine, Paik Hospital, Inje University College of Medicine) ;
  • Shin, Eun Ah (Department of Pathology, Paik Hospital, Inje University College of Medicine) ;
  • Kim, Joung Sook (Department of Radiology, Paik Hospital, Inje University College of Medicine) ;
  • Park, I Nae (Department of Internal Medicine, Paik Hospital, Inje University College of Medicine) ;
  • Jeung, Hoon (Department of Internal Medicine, Paik Hospital, Inje University College of Medicine) ;
  • Hur, Jin Won (Department of Internal Medicine, Paik Hospital, Inje University College of Medicine) ;
  • Lee, Sung Soon (Department of Internal Medicine, Paik Hospital, Inje University College of Medicine) ;
  • Lee, Hyun Kyung (Department of Internal Medicine, Paik Hospital, Inje University College of Medicine) ;
  • Kim, Joo In (Department of Internal Medicine, Paik Hospital, Inje University College of Medicine) ;
  • Lee, Young Min (Department of Internal Medicine, Paik Hospital, Inje University College of Medicine) ;
  • Lee, Hyuk Pyo (Department of Internal Medicine, Paik Hospital, Inje University College of Medicine) ;
  • Yum, Ho Kee (Department of Internal Medicine, Paik Hospital, Inje University College of Medicine) ;
  • Choi, Soo Jeon (Department of Internal Medicine, Paik Hospital, Inje University College of Medicine)
  • 김승구 (인제대학교 의과대학 내과학교실) ;
  • 강건희 (인제대학교 의과대학 내과학교실) ;
  • 김준재 (인제대학교 의과대학 내과학교실) ;
  • 박현 (인제대학교 의과대학 내과학교실) ;
  • 백나나 (인제대학교 의과대학 내과학교실) ;
  • 최상봉 (인제대학교 의과대학 내과학교실) ;
  • 신은아 (인제대학교 의과대학 병리학교실) ;
  • 김정숙 (인제대학교 의과대학 영상의학교실) ;
  • 박이내 (인제대학교 의과대학 내과학교실) ;
  • 정훈 (인제대학교 의과대학 내과학교실) ;
  • 허진원 (인제대학교 의과대학 내과학교실) ;
  • 이성순 (인제대학교 의과대학 내과학교실) ;
  • 이현경 (인제대학교 의과대학 내과학교실) ;
  • 김주인 (인제대학교 의과대학 내과학교실) ;
  • 이영민 (인제대학교 의과대학 내과학교실) ;
  • 이혁표 (인제대학교 의과대학 내과학교실) ;
  • 염호기 (인제대학교 의과대학 내과학교실) ;
  • 최수전 (인제대학교 의과대학 내과학교실)
  • Received : 2008.08.22
  • Accepted : 2008.09.24
  • Published : 2008.11.30
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Abstract

Many classes of drug, such as antineoplastic drugs and antiarrhythmic drugs, have potential to induce interstitial lung disease. Herbal medicines are also believed to have the potential to induce pneumonitis. However, to our knowledge, there are no reports of pneumonitis caused by herbal medications in the Korean medical database. We report a case of recurrent pneumonitis caused by a self rechallenge of the Herbal medicine Bojungikgitang (Bu-Zhong-Yi-Qi-Tang : Hochu-ekki-to).

한약은 폐 질환을 일으키는 드문 원인이나 현재 동, 서양을 막론하고 한약의 사용 증가를 고려하면 향후 더 많은 경우에서 본 사례와 같은 한약 유발성 폐 질환을 경험할 것으로 생각된다. 보중익기탕으로 인한 간질성 폐렴은 국내에서 아직 보고된 바가 없고 이런 경우에서 가능성을 의심하고 초기에 진단하여 더 이상의 복용을 회피하고 적절하게 치료한다면 좋은 예후를 보일 것으로 예상된다. 이에 문헌 고찰과 함께 본 증례를 보고하는 바이다.

Keywords

References

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