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

AbstractA 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 (Affiliation: Department of Respiratory Medicine, National Hospital Organization Himeji Medical Center.)
JournalNihon Kokyūki 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, English Abstract, Journal Article)
Topics
  • Alveolitis, Extrinsic Allergic (pathology, radiography)
  • Bronchioles (pathology)
  • Female
  • Humans
  • Lung (radiography)
  • Male
  • Middle Aged
  • Seasons
  • Tomography, X-Ray Computed