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http://dx.doi.org/10.4046/trd.2009.67.4.364

A Case of Bronchiolitis Interstitial Pneumonitis  

Chi, Su Young (Department of Internal Medicine, Chonnam National University Medical School)
Ryu, Kyoung Ho (Department of Internal Medicine, Chonnam National University Medical School)
Lim, Dae Hun (Department of Internal Medicine, Chonnam National University Medical School)
Shin, Hong-Joon (Department of Internal Medicine, Chonnam National University Medical School)
Ban, Hee Jung (Department of Internal Medicine, Chonnam National University Medical School)
Oh, In-Jae (Department of Internal Medicine, Chonnam National University Medical School)
Kwon, Yong Soo (Department of Internal Medicine, Chonnam National University Medical School)
Kim, Kyu-Sik (Department of Internal Medicine, Chonnam National University Medical School)
Lim, Sung-Chul (Department of Internal Medicine, Chonnam National University Medical School)
Kim, Young-Chul (Department of Internal Medicine, Chonnam National University Medical School)
Choi, Yoo-Duk (Department of Pathology, Chonnam National University Medical School)
Song, Sang-Yun (Department of Thoracic and Cardiovascular Surgery, Chonnam National University Medical School)
Seon, Hyun Ju (Department of Radiology, Chonnam National University Medical School)
Publication Information
Tuberculosis and Respiratory Diseases / v.67, no.4, 2009 , pp. 364-368 More about this Journal
Abstract
Bronchiolitis interstitial pneumonitis (BIP), an unclassified and newly described interstitial pneumonia, has a combined feature of prominent bronchiolitis, interstitial inflammation, and fibrosis. It is distinct from bronchiolitis obliterans or bronchiolitis obliterans organizing pneumonia (BOOP). BIP has a better prognosis than common cases of interstitial pneumonia. However, BIP has a poorer prognosis than BOOP. BIP's response to corticosteroids is not as successful as BOOP's response to this treatment. We encountered the case of a 31-year-old woman with BIP with an initial presentation of dyspnea and a cough that had lasted for 3 months. The patient's chest CT scan demonstrated patchy ground glass opacities and multiple ill-defined centrilobular nodules in both lungs, suggesting military tuberculosis or nontuberculous mycobacterial infection. A video-assisted thoracoscopic lung biopsy resulted in the diagnosis of BIP. Clinical symptoms, pulmonary lesions, and pulmonary function tests were improved after oral glucocorticoid therapy.
Keywords
Interstitial lung diseases; Bronchiolitis; Bronchiolitis obliterans;
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