Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society · 2000
[Rheumatoid arthritis-associated bronchiolitis successfully treated with erythromycin].
Клинический случайАннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
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Matsui S, Yamashita N, Narukawa M, Hayashi R, Yoshida Y, Arai N, Maruyama M, Kobayashi M, Kitagawa M
Аннотация
A 52-year-old man with a 4-year history of rheumatoid arthritis, and who had an episode of suspected BOOP in early 1994, was admitted to our hospital because of cough and fever. A chest X-ray film on admission showed small patchy infiltrates, and a computed tomographic (CT) scan showed centrilobular nodules and patchy infiltrates with thickened broncho-vascular bundles in both lungs. Transbronchial and thoracoscopic lung biopsies disclosed the coexistence of interstitial pneumonia with BOOP pattern, follicular bronchiolitis, and diffuse panbronchiolitis-like purulent and obliterative bronchiolitis. Due to findings of chronic sinusitis, the patient was treated with erythromycin for 8 weeks, and the abnormal CT shadows regressed. This was an interesting case of various pulmonary lesions associated with rheumatoid arthritis, and successfully treated with erythromycin.