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[Two cases of summer-type hypersensitivity peumonitis with remarkable changes in the bronchioles].

Abstract
A 56-year-old man and a 53-year-old woman with cough, sputum and dyspnea were admitted in the summer. High-resolution computed tomographic findings of the chest showed centrilobular branching opacities like diffuse panbronchiolitis with ground glass opacities. Both cases showed hypoxia, a high titer of serum anti-Tricosporon antibody and exacerbation in their own homes. Video-assisted thoracoscopic lung biopsy revealed granuloma in the bronchioles area. We diagnosed summer type hypersensitivity pneumonitis and this condition improved in response to antigen isolation and steroids. Remarkable changes in the bronchioles were characteristic in the two cases.
AuthorsTomoko Miyagawa, Yoshirou Mochizuki, Yasuharu Nakahara, Tetsuji Kawamura, Shin Sasaki, Hiroaki Tsukamoto, Hisako Tabata, Hideaki Okada, Youichirou Kobashi
JournalNihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society (Nihon Kokyuki Gakkai Zasshi) Vol. 47 Issue 2 Pg. 145-50 (Feb 2009) ISSN: 1343-3490 [Print] Japan
PMID19260539 (Publication Type: Case Reports, Journal Article)
Topics
  • Alveolitis, Extrinsic Allergic (diagnostic imaging, pathology)
  • Bronchioles (pathology)
  • Female
  • Humans
  • Lung (diagnostic imaging)
  • Male
  • Middle Aged
  • Seasons
  • Tomography, X-Ray Computed

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