Browse > Article

The Clinical Significances of Bronchial Anthracofibrosis in the Patients with Endobronchial Tuberculosis  

Kim, Seon Woong (Departments of Internal Medicine, Fatima Hospital)
Kim, In Seek (Departments of Internal Medicine, Fatima Hospital)
Park, Dong Hi (Departments of Internal Medicine, Fatima Hospital)
No, Tae Mook (Departments of Internal Medicine, Fatima Hospital)
Joeng, Jae Kwon (Departments of Internal Medicine, Fatima Hospital)
Jung, Seung Wook (Departments of Internal Medicine, Fatima Hospital)
Kim, Yeon Jae (Departments of Internal Medicine, Fatima Hospital)
Lee, Byung Ki (Departments of Internal Medicine, Fatima Hospital)
Publication Information
Tuberculosis and Respiratory Diseases / v.56, no.5, 2004 , pp. 495-504 More about this Journal
Abstract
Background : Bronchial anthracofibrosis is one of the main manifestations of lung disease that is related to woodsmoke inhalation, and it is frequently associated with various pulmonary diseases, such as tuberculosis. The purpose of this study was to evaluate the clinical significance of bronchial anthracofibrosis in patients with endobronchial tuberculosis. Methods : 63 patients, who were diagnosed with endobronchial tuberculosis using bronchoscopy, were included in this study. The patients consisted of 12 males and 51 females, having mean age of 59.5 years. The clinical features, radiologic and bronchoscopic findings between the patients with (37) and without (26) bronchial anthracofibrosis were analyzed retrospectively. Results : When the patients were older, bronchial anthracofibrosis was more frequent. The endobronchial tuberculosis, which was located at the right middle lobal bronchus, was more frequent in the patients with bronchial anthracofibrosis than in the patients without bronchial anthracofibrosis. In the morphologic types of endobronchial tuberculosis, patients with bronchial anthracofibrosis had more edematous-hyperemic and ulcerative types, while patients without bronchial anthracofibrosis had more active caseating. Conclusion : These findings suggest that the presence of bronchial anthracofibrosis can possibly influence the locations and morphologic types of endobronchial tuberculosis.
Keywords
Bronchial Anthracofibrosis; Endobronchial Tuberculosis;
Citations & Related Records

Times Cited By SCOPUS : 5
연도 인용수 순위
1 Chung MP, Lee KS, Han JG, Kim HG, Rhee CH, Han YC, et al. Bronchial stenosis due to anthracofibrosis. Chest 1998;113:344-350
2 노태묵, 김인식, 김선웅, 박동희, 정재권, 주동욱, 등. 기관지 탄분 섬유화증의 원인규명에 대한 임상적 연구. 대한내과학회지 2003;65:665-74
3 So SY, Lam WK, Sham MK. Bronchorrhea. A presenting feature of active endobronchial tuberculosis. Chest 1983;84:635-6
4 안철민, 김형중, 황의석, 김성규, 이원영, 김상진. 기관 및 기관지 결핵 61예의 임상적 고찰. 결핵 및 호흡기 질환 1996;38:340-6
5 Albert RK, Petty TL. Endobronchial tuber-culosis progressing to bronchial stenosis. Chest 1976;70:537-9
6 박인원, 유철규, 권오정, 김영환, 한성구, 심영수,등. 기관지 내시경상 기관지점막 색소침착의 임상적 의의. 결핵 및 호흡기 질환 1991;38:280-6
7 Churg A. The uptake of mineral particles by pulmonary epithelial cells. Am J Crit Care Med 1996;154:1124-40
8 김성광, 김성진, 안동일, 유남수, 조동일, 김재원.기관 및 기관지 결핵에 대한 임상적 고찰. 결핵 및 호흡기 질환 1986;33:95-102
9 이재영, 김정미, 문두섭, 이창화, 이경상, 양석철, 등. 기관지 결핵의 임상상-201예에 대한 후향적 고찰. 결핵 및 호흡기 질환 1996;43:671- 82
10 Smith LS, Schillaci RF, Sarin RF. Endo-bronchial tuberculosis serial fiberoptic bron-choscopy and natural history. Chest 1987;91:644-7
11 Dennis RJ, Maldonado D, Norman S, Baena E, Martinez G. Woodsmoke exposure and risk for obstructive airways disease among women. Chest 1996;109:115-9
12 한성욱, 이동후, 박성수, 이정희. 기관지 결핵에 대한 임상적 관찰. 결핵 및 호흡기 질환 1984; 31:57-66
13 Hoheisel G, Chan BKM, Chan CHS, Chan KS, Teschler H, Costabel U. Endobronchial tuberculosis: diagnostic features and thera-peutic outcome. Respiratory Medicine 1994;88:593-7
14 이재호, 윤해경, 송재우, 유철규, 정희순, 김영환, 등. 기관지 결핵의 흉부 전산화 단층 촬영소견 및 기관지경 소견과의 비교. 결핵 및 호흡기질환 1997;44:742-55
15 Chung HS, Lee JH. Bronchoscopic asses-sment of the evolution of endobronchial tuber-culosis. Chest 2000;117:385-392
16 Garay SM. Pulmonary tuberculosis. Rom WN, Garay SM, editors. Tuberculosis $2^{nd}$ ed. Philadelphia:Lippincott Williams & Wilkins;2004. p.345-94
17 Chan HS, Pang JA. Effect of corticosteroids on deterioration of endobronchial tuberculosis during chemotherapy. Chest 1989;96:1195-6
18 이희섭, 맹주희, 장진근, 박배근, 박완, 류대식, 등. 비결핵성 기관지 탄분 섬유화증의 임상 양상. 결핵 및 호흡기 질환 2002;53:510-8
19 Zelikoff JT, Chen LC, Cohen MD, Schle-singer RB. The toxicology of the inhaled woodsmoke. J Toxicol Environ Health 2002;5:269-72
20 Behera D, Jindal SK. Respiratory symptoms in Indian using domestic cooking fuels. Chest 1991;100:385-8
21 Kim YH, Kim HT, Lee KS, Uh ST, Cung YT, Park CS. Serial fiberoptic bronchoscopic observations of endobronchial tuberculosis before and early after antituberculosis chemo-therapy. Chest 1993;103:673-7
22 김재열, 박재석, 강민종, 유철규, 김영환, 한성구,등. 기관지내 Anthracofibrosis와 결핵의 연관성. 대한내과학회지 1996;51:351-7
23 Sandoval J, Salas J, Martinez-Guerra ML, Gomez A, Martinez C, Portales A, et al. Pulmonary arterial hypertension and cor pul-monale associated with chronic domestic woodsmoke inhalation. Chest 1993;103:12-20
24 성윤업, 김상훈, 신종욱, 임성용, 강윤정, 고형기,등. 기관지결핵치료에 있어서 스테로이드 효과. 결핵 및 호흡기질환 1995;42:130-41
25 Cohen AG. Atelectasis of the right middle lobe resulting from perforation of tuber-culosis lymph node into bronchi in adult. Ann Intern Med 1951;35:701-6
26 Lee JH, Park SS, Lee DH, Shin DH, Yang SC, Yoo BM. Endobronchial tuberculosis clinical and bronchoscopic features in 121 cases. Chest 1992;102:990-4
27 Kradin RL, Spirin PW, Mark EJ. Intrapul-monary lymph nodes. clinical, radiologic, and pathologic features. Chest 1985;117:385-92
28 한상훈, 차건영, 이영목, 김기업, 어수택, 김용훈, 등. 기관지 탄분 섬유화증에서 항결핵 약제의 투여에 관한 고찰. 결핵 및 호흡기 질환 2001;51:224-31
29 Van den brade PM, Van de Mierop F, Verbeken EK, Demedts M. Cinical spectrum of endobronchial tuberculosis in elderly patients. Arch Intern Med 1990;150:2105-8
30 박은주, 김미옥, 양석철, 손장원, 윤호주, 신동호, 등. 기관지 결핵의 임상상과 내시경 소견(1990-2001). 대한내과학회지 2003;64:284-92
31 Kim HY, Im JG, Goo JM, Kim JY, Han SK, Lee JK, et al. Bronchial anthracofibrosis (Inflammatory bronchial stenosis with anthra cotic pigmentation): CT findings. AJR 2000;174:523-7