3세 남아에서 발견된 만성 영아 폐렴
A Case of Chronic Pneumonitis of Infancy in a 3-Year-Old Boy
2
조회
0
다운로드
0
인용
0
참고문헌
초록
소아기에 발생하는 간질성 폐렴은 발생 빈도가 매우 낮기는 하지만 일단 발생하면 사망률이 높은 치명적인 질환중의 하나이다. 만성 영아 폐렴은 이러한 간질성 폐렴중에서도 매우 드문 형태로 아직까지도 병에대한 이해와 치료에 관한 지식이 부족한 상황이다. 저자들은 3세에 내원 3주전부터 시작된 기침과 열 증상으로 내원하여 간질성 폐렴으로 진단받고 외과적으로 폐 생검을 시행하고 조직학적으로 만성 영아 폐렴으로 확진한 1례를 경험하였기에 이를 문헌고찰과 함께 보고하는 바이다.
Abstract
Interstitial lung disease, mostly chronic lung disorder, is usually characterized by diffuse infiltrates and disordered gas exchange, is a very rare disease in children. Chronic pneumonitis of infancy (CPI) is a recently described entity representing a distinct form of interstitial lung disease affecting infants and young children. The histologic findings suggest marked alveolar septal thickening, striking alveolar pneumocyte hyperplasia, and alveolar exudates containing numerous macrophages and foci of eosinophilic debris. A 3-year-old boy visited a local clinic with cough and tachypnea for a duration of 3 weeks. His clinical symptoms were aggravated and he was referred to our hospital. He was diagnosed with chronic pneumonitis of infancy after undergoing open lung biopsy. We herein present the case with review of literature.
참고문헌 (14)
- "The epidemiology of interstitial lung diseases", pp.967~72
- "Pediatric interstitial lung disease revisited", 38, pp.369~378 (2004)
- "The value of classifying interstitial pneumonitis in childhood according to defined histological patterns", 33, pp.203~211 (1998)
- "Chronic pneumonitis of infancy. A unique form of interstitial lung disease occurring in early childhood", 19, pp.439~447 (1995)
- "Chronic pneumonitis of infancy. An autopsy study of 12 cases", 47, pp.96~100 (1999)
- "A case of chronic pnemonitis of infancy in pediatric interstitial lung disease", 44, pp.1085~1090 (2001)
- "A mutation in the surfactant protein C gene associated with familial interstitial lung disease", 344, pp.573~579 (2001)
- "Molecular and phenotypic variability in the congenital alveolar proteinosis syndrome associated with inherited surfactant protein B deficiency", (gee lm), pp.43~50
- "Chronic pneumonitis of infancy", 12, pp.S155~S157 (2002)
- "Chronic pneumonitis of infancy: high-resolution CT findings", 34, pp.86~88 (2004)
- "Chronic interstitial lung disease in children: response to high-dose intravenous methylprednisolone pulses", 26, pp.332~338 (1998)
- "Chloroquine treatment of interstitial lung disease in children", pp.356~60
- "Diagnostic and management strategies for diffuse interstitial lung disease", 113, pp.192~202 (1998)
- "Approaches to the treatment of pulmonary fibrosis", 151, pp.915~918 (1995)