A Case of Desquamative Interstitial Pneumonia with an Increased Number of Eosinophils in Bronchoalveolar Lavage Fluid / 대한내과학회지
Korean Journal of Medicine
;
: 335-339, 2015.
Article
in Korean
| WPRIM
| ID: wpr-216644
ABSTRACT
Here, we present a case of desquamative interstitial pneumonia (DIP) that was initially misdiagnosed as chronic eosinophilic pneumonia due to an increased number of eosinophils in the bronchoalveolar lavage fluid (BALF). A 56-year-old male smoker presented with a productive cough that had been present for 1 month. High-resolution computed tomography (HRCT) revealed multifocal patchy ground-glass and reticular opacities in the subpleural area. BALF analysis revealed an elevated level of eosinophils (37%). Thus, the patient was initially diagnosed with chronic eosinophilic pneumonia and was administered prednisolone (0.5 mg/kg/day). However, his symptoms and the diffuse infiltrative shadows on HRCT did not improve after 2 months of treatment, and a video-assisted thoracoscopic lung biopsy led to the diagnosis of DIP. Prednisolone (1 mg/kg/day) was administered again, and the patient's symptoms improved. At 1 year after the end of treatment, the patient remained symptom-free.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pulmonary Eosinophilia
/
Biopsy
/
Prednisolone
/
Bronchoalveolar Lavage Fluid
/
Lung Diseases, Interstitial
/
Bronchoalveolar Lavage
/
Cough
/
Diagnosis
/
Eosinophils
/
Idiopathic Interstitial Pneumonias
Type of study:
Diagnostic study
Limits:
Humans
/
Male
Language:
Korean
Journal:
Korean Journal of Medicine
Year:
2015
Type:
Article
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