A Case of Bronchiolitis Interstitial Pneumonitis.
10.4046/trd.2009.67.4.364
- Author:
Su Young CHI
1
;
Kyoung Ho RYU
;
Dae Hun LIM
;
Hong Joon SHIN
;
Hee Jung BAN
;
In Jae OH
;
Yong Soo KWON
;
Kyu Sik KIM
;
Sung Chul LIM
;
Young Chul KIM
;
Yoo Duk CHOI
;
Sang Yun SONG
;
Hyun Ju SEON
Author Information
1. Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea. yskwon@chonnam.ac.kr
- Publication Type:Case Report
- Keywords:
Interstitial lung diseases;
Bronchiolitis;
Bronchiolitis obliterans
- MeSH:
Adrenal Cortex Hormones;
Adult;
Biopsy;
Bronchiolitis;
Bronchiolitis Obliterans;
Cough;
Cryptogenic Organizing Pneumonia;
Dyspnea;
Female;
Fibrosis;
Glass;
Humans;
Inflammation;
Lung;
Lung Diseases, Interstitial;
Military Personnel;
Prognosis;
Respiratory Function Tests;
Thorax;
Tuberculosis
- From:Tuberculosis and Respiratory Diseases
2009;67(4):364-368
- CountryRepublic of Korea
- Language:Korean
-
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.
