Tuberculosis and Respiratory Diseases
- Volume 47 Issue 6
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- Pages.843-849
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- 1999
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- 1738-3536(pISSN)
- /
- 2005-6184(eISSN)
A case of Nonspecific Interstitial Pneumonitis Mimicking Pneumoncystis carinii Pneumonia in HIV-Positive Patient
AIDS 환자에서 뉴모시스티스 카리니 폐렴(P. carinii pneumonia)과 유사한 소견을 보인 비특이적 간질성 폐렴(Nonspecific interstitial pneumonitis) 1예
-
Lee, Sang-Yeub
(Department of Internal Medicine, College of Medicine, Korea University)
;
-
Oh,, Yu-Whan
(Department of Radiology, College of Medicine, Korea University)
;
-
Kim, Han-Kyeom
(Department of Pathology, College of Medicine, Korea University)
;
-
Shin, Bong-Kyung
(Department of Pathology, College of Medicine, Korea University)
;
- Park, Sang-Myun (Department of Internal Medicine, College of Medicine, Korea University) ;
- Lee, Sin-Hyung (Department of Internal Medicine, College of Medicine, Korea University) ;
- Shin, Chol (Department of Internal Medicine, College of Medicine, Korea University) ;
- Shim, Jae-Jeong (Department of Internal Medicine, College of Medicine, Korea University) ;
- Cho, Jae-Youn (Department of Internal Medicine, College of Medicine, Korea University) ;
- Kang, Kyung-Ho (Department of Internal Medicine, College of Medicine, Korea University) ;
- Yoo, Se-Hwa (Department of Internal Medicine, College of Medicine, Korea University) ;
-
In, Kwang-Ho
(Department of Internal Medicine, College of Medicine, Korea University)
-
이상엽
(고려의대 내과학교실)
;
-
오유환
(고려의대 방사선과학교실)
;
-
김한겸
(고려의대 병리학교실)
;
-
신봉경
(고려의대 병리학교실)
;
- 박상면 (고려의대 내과학교실) ;
- 이신형 (고려의대 내과학교실) ;
- 신철 (고려의대 내과학교실) ;
- 심재정 (고려의대 내과학교실) ;
- 조재연 (고려의대 내과학교실) ;
- 강경호 (고려의대 내과학교실) ;
- 유세화 (고려의대 내과학교실) ;
-
인광호
(고려의대 내과학교실)
- Published : 1999.12.30
Abstract
The prevalence of nonspecific interstitial pneumonitis(NSIP) in HIV-positive patients with pulmonary disease has varied from 11 to 38%. But NSIP in HIV-positive patients is indistinguishable from Pneumocystis carinii pneumonia(PCP) clinically and radiologically. The number of HIV-positive patients is less in Korea than in western developed countries, so little attention has been paid to the differential diagnosis between NSIP and PCP. We report a case of NSIP in HIV-positive, 61-year-old man which mimicked PCP. He presented with cough, sputum and mild exertional dyspnea. Lung sound was clear. But, chest X-ray and HRCT demonstrated diffuse patch and bilateral ground-glass opacities in central and perihilar area of both lung. Microbial pathogens were not found on sputum, BAL fluid and tissues taken by TBLB. In transbronchial lung biopsy specimen, interstitial infiltrates with lymphocytes were distributed on peribronchiolar regions. A pathologic diagnosis of NSIP was suggested, he received symptomatic treatment. The follow-up chest X-ray showed near complete resolution.
저자들은 AIDS 환자에서 뉴모시스티스 카리니 폐렴과 유사한 임상소견과 방사선학적 소견을 보였으나, 기관지 폐포세척술과 경기관지 폐생검상 조직학적으로 비특이적 간질성 폐렴으로 확진된 1예를 경험하여 이를 보고하는 바이다.