소아에서 단일 폐 결절로 보인 폐쇄성 세기관지 기질화 폐렴 1례
A Case of Bronchiolitis Obliterans Organizing Pneumonia with a Solitary Pulmonary Nodule in a Child
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초록
폐쇄성 세기관지 기질화 폐렴은 병리 조직 소견에서 세기관지와 폐포 내의 육아 조직 증식을 보이고 흉부 방사선에서 양측성 반점상 침윤을 흔히 보이는 질환이다. 본 증례에서는 소아에서 드물게 단일 결절의 폐쇄성 세기관지 기질화 폐렴을 발견하여 보고하였으며 흉부 방사선에서 단일 결절 소견이 보일 경우 폐감염 또는 종양 등과 함께 폐쇄성 세기관지 기질화 폐렴에 대한 감별도 필요할 것으로 생각된다.
Abstract
Bronchiolitis obliterans organizing pneumonia (BOOP) is a pulmonary disorder that exhibits various radiographic findings. It often shows bilateral, patched, or ground glass interstitial infiltrate, but a solitary nodular pattern rarely appears. We report a case of an 8-year-old boy suffering from BOOP that showed a single nodular pattern of the lung in the chest radiography. We conclude that when there is a solitary nodule discovered in the lungs of children or adolescence, the differential diagnosis must include BOOP.
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