SUCCESSFULLY TREATED ACUTE INTERSTITIAL PNEUMONIA.

Autor: Gomerčić Palčić M; Sestre milosrdnice University Hospital Center, Zagreb; Croatia.; University of Zagreb, School of Medicine, Zagreb, Croatia., Turalija I; Sestre milosrdnice University Hospital Center, Zagreb; Croatia., Vrbanić L; Sestre milosrdnice University Hospital Center, Zagreb; Croatia., Folnožić I; Sestre milosrdnice University Hospital Center, Zagreb; Croatia., Basioli Kasap E; Zadar General Hospital, Zadar, Croatia., Ulamec M; Sestre milosrdnice University Hospital Center, Zagreb; Croatia.; University of Zagreb, School of Medicine, Zagreb, Croatia.
Jazyk: angličtina
Zdroj: Acta clinica Croatica [Acta Clin Croat] 2022 Dec; Vol. 61 (4), pp. 722-726.
DOI: 10.20471/acc.2022.61.04.21
Abstrakt: Acute interstitial pneumonia (AIP) is a rare idiopathic interstitial pneumonia with histology finding of diffuse alveolar damage (DAD). It is characterized by progressive hypoxic respiratory failure, high mortality rate, and absence of guidelines for its treatment. Here we present a case of a 64-year-old woman with progressive dyspnea, acute respiratory failure, diffuse bilateral reticulonodular opacities on standard chest radiograph, diffuse ground-glass opacities on computed tomography, and biopsy proven DAD. Diagnosis of AIP was established after extensive work-up that excluded the known risk factors for acute respiratory distress syndrome. Oxygen therapy and high-dose parenteral corticosteroids led to gradual improvement and resulted in complete respiratory recovery. Since there are no existing guidelines for treating AIP, more case reports and case series if not randomized control trials are warranted in order to define the most effective therapeutic modality.
(Sestre Milosrdnice University Hospital.)
Databáze: MEDLINE