기관지성 폐렴환자에서 경험한 통상성 간질성 폐렴 1예
A Case Report of Usual Interstitial Pneumonia after Treatment of Bronchopneumonia
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초록
통상성 간질성 폐렴은 간질성 폐렴의 한 종류로서, 조직병리학적 소견으로 아직 병의 자연경과를 정확히 모르고 치료법이 정립되어 있지 않으며 특히 예후가 나쁜 병으로 알려져 있다. 원인 모르게 폐포벽에 만성염증 세포들의 침윤과 섬유 모세포 및 교원질 침착이 증가되어 심한 폐조직의 구조적 변화를 야기하는 질환이다. 저자들은 열감, 호흡곤란으로 내원하여 기관지성 폐렴 진단 및 치료 후에도 오른쪽 폐에 두드러지게 진행된 방사선학적 이상소견으로 통상성 간질성 폐렴으 로 진단된 75세 남자환자를 경험하였기에 이를 보고하는 바이다.
Abstract
Usual interstitial pneumonia (UIP) is one type of idiopathic interstitial pneumonia, characterized by its poor prognosis and gradual deterioration of clinical course. So it is important to distinguish UIP from other interstitial pneumonia. Defi nitive histological diagnosis of UIP requires lung biopsy. The criteria for diagnosis of UIP in the absence of a surgical lung biopsy were recently defi ned. We report a case of 75-year-old man who was diagnosed as bronchopneumonia with chief complaint of fever, dyspnea on fi rst visit, then fi nally diagnosed as UIP through the remaining of chest abnormality after treatment.
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