Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
권호 표지
DOI QR코드

DOI QR Code

A Case of Bronchilolitis Obliterans Organizing Pneumonia in a Patient with Ulcerative Colitis

궤양성 대장염에서 나타난 폐쇄성 세기관지염 기질화 폐렴 1예

  • Lee, Hyun-Jung (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Park, Byung-Hoon (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Son, Ji-Young (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Jung, Ji-Ye (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Hwang, Se-Na (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Chon, Young-Eun (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Kim, Eun-Young (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Lim, Ju-Eun (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Lee, Kyung-Jong (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Yoon, Yoe-Wun (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Kim, Young-Sam (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Kim, Se-Kyu (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Chang, Joon (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Shim, Hyo-Sub (Department of Pathology, Yonsei University College of Medicine) ;
  • Cho, Sang-Ho (Department of Pathology, Bundang CHA Hospital, CHA University College of Medicine) ;
  • Park, Moo-Suk (Department of Internal Medicine, Yonsei University College of Medicine)
  • 이현정 (연세대학교 의과대학 내과학교실) ;
  • 박병훈 (연세대학교 의과대학 내과학교실) ;
  • 손지영 (연세대학교 의과대학 내과학교실) ;
  • 정지예 (연세대학교 의과대학 내과학교실) ;
  • 황세나 (연세대학교 의과대학 내과학교실) ;
  • 전영은 (연세대학교 의과대학 내과학교실) ;
  • 김은영 (연세대학교 의과대학 내과학교실) ;
  • 임주은 (연세대학교 의과대학 내과학교실) ;
  • 이경종 (연세대학교 의과대학 내과학교실) ;
  • 윤여운 (연세대학교 의과대학 내과학교실) ;
  • 김영삼 (연세대학교 의과대학 내과학교실) ;
  • 김세규 (연세대학교 의과대학 내과학교실) ;
  • 장준 (연세대학교 의과대학 내과학교실) ;
  • 심효섭 (연세대학교 의과대학 병리학교실) ;
  • 조상호 (CHA 의과학대학교 분당차병원 병리학교실) ;
  • 박무석 (연세대학교 의과대학 내과학교실)
  • Received : 2009.09.30
  • Accepted : 2009.11.13
  • Published : 2010.03.30
Download PDF
⟨ Previous Next ⟩

Abstract

The ulcerative colitis is a chronic inflammatory bowel disease with an unknown etiology. The major symptoms of ulcerative colitis are diarrhea, abdominal pain and hematochezia. However, arthritis, skin disorders, hepatobiliary inflammation and uveitis are occasionally recognized as systemic complications. Although there are few reports of coexistent pulmonary and inflammatory bowel disease, the lung is not generally considered to be a target organ in ulcerative colitis. We report a patient with ulcerative colitis-related bronchilolitis obliterans organizing pneumonia confirmed by video-assisted thoracoscopic surgery, who responded to corticosteroid therapy.

Keywords

References

  1. Moles KW, Varghese G, Hayes JR. Pulmonary involvement in ulcerative colitis. Br J Dis Chest 1988;82:79-83. https://doi.org/10.1016/0007-0971(88)90012-5
  2. Cohen M, Sahn SA. Bronchiectasis in systemic diseases. Chest 1999;116:1063-74. https://doi.org/10.1378/chest.116.4.1063
  3. Gabazza EC, Taguchi O, Yamakami T, Machishi M, Ibata H, Fukukita S, et al. Bronchopulmonary disease in ulcerative colitis. Intern Med 1992;31:1155-9. https://doi.org/10.2169/internalmedicine.31.1155
  4. Yoo MK, Lee JH, Han SB, Jeon YJ, Cho SC. A case of interstitial lung disease in ulcerative colitis. Tuberc Respir Dis 1997;44:1140-5. https://doi.org/10.4046/trd.1997.44.5.1140
  5. Camus P, Piard F, Ashcroft T, Gal AA, Colby TV. The lung in inflammatory bowel disease. Medicine (Baltimore) 1993;72:151-83. https://doi.org/10.1097/00005792-199372030-00003
  6. Spira A, Grossman R, Balter M. Large airway disease associated with inflammatory bowel disease. Chest 1998;113:1723-6. https://doi.org/10.1378/chest.113.6.1723
  7. Karadag F, Ozhan MH, Akcicek E, Gunel O, Alper H, Veral A. Is it possible to detect ulcerative colitis-related respiratory syndrome early? Respirology 2001;6:341-6. https://doi.org/10.1046/j.1440-1843.2001.00347.x
  8. Storch I, Sachar D, Katz S. Pulmonary manifestations of inflammatory bowel disease. Inflamm Bowel Dis 2003;9:104-15. https://doi.org/10.1097/00054725-200303000-00004
  9. Haralambou G, Teirstein AS, Gil J, Present DH. Bronchiolitis obliterans in a patient with ulcerative colitis receiving mesalamine. Mt Sinai J Med 2001;68:384-8.
  10. Rogers BH, Clark LM, Kirsner JB. The epidemiologic and demographic characteristics of inflammatory bowel disease: an analysis of a computerized file of 1400 patients. J Chronic Dis 1971;24:743-73. https://doi.org/10.1016/0021-9681(71)90087-7
  11. Songur N, Songur Y, Tuzun M, Dogan I, Tuzun D, Ensari A, et al. Pulmonary function tests and high-resolution CT in the detection of pulmonary involvement in inflammatory bowel disease. J Clin Gastroenterol 2003;37:292-8. https://doi.org/10.1097/00004836-200310000-00006
  12. Black H, Mendoza M, Murin S. Thoracic manifestations of inflammatory bowel disease. Chest 2007;131:524-32. https://doi.org/10.1378/chest.06-1074
  13. Rothfuss KS, Stange EF, Herrlinger KR. Extraintestinal manifestations and complications in inflammatory bowel diseases. World J Gastroenterol 2006;12:4819-31. https://doi.org/10.3748/wjg.v12.i30.4819
  14. Hilling GA, Robertson DA, Chalmers AH, Rigby HS. Unusual pulmonary complication of ulcerative colitis with a rapid response to corticosteroids: case report. Gut 1994;35:847-8. https://doi.org/10.1136/gut.35.6.847