Solitary Pure Ground-glass Opacity Suspected of Being the Initial Presentation of Nonfibrotic Hypersensitivity Pneumonitis.

Autor: Kubota N; Department of Respiratory Medicine, Tokyo Medical and Dental University, Japan.; Department of Respiratory Medicine, Musashino Red Cross Hospital, Japan., Okamoto T; Department of Respiratory Medicine, Tokyo Medical and Dental University, Japan.; Center for Personalized Medicine for Healthy Aging, Tokyo Medical and Dental University, Japan., Shimada S; Department of Respiratory Medicine, Tokyo Medical and Dental University, Japan., Yamana T; Department of Respiratory Medicine, Tokyo Medical and Dental University, Japan., Iijima Y; Department of Respiratory Medicine, Tokyo Medical and Dental University, Japan., Sakakibara R; Department of Respiratory Medicine, Tokyo Medical and Dental University, Japan., Shibata S; Department of Respiratory Medicine, Tokyo Medical and Dental University, Japan., Honda T; Department of Respiratory Medicine, Tokyo Medical and Dental University, Japan., Mitsumura T; Department of Respiratory Medicine, Tokyo Medical and Dental University, Japan., Shirai T; Department of Respiratory Medicine, Tokyo Medical and Dental University, Japan., Furusawa H; Department of Respiratory Medicine, Tokyo Medical and Dental University, Japan., Tateishi T; Department of Respiratory Medicine, Tokyo Medical and Dental University, Japan., Adachi T; Department of Diagnostic Radiology, Tokyo Medical and Dental University, Japan., Kirimura S; Department of Pathology, Tokyo Medical and Dental University, Japan., Miyazaki Y; Department of Respiratory Medicine, Tokyo Medical and Dental University, Japan.
Jazyk: angličtina
Zdroj: Internal medicine (Tokyo, Japan) [Intern Med] 2024 Sep 15; Vol. 63 (18), pp. 2543-2546. Date of Electronic Publication: 2024 Feb 12.
DOI: 10.2169/internalmedicine.3030-23
Abstrakt: We herein report a rare case of hypersensitivity pneumonitis (HP) that was initially demonstrated as solitary pure ground-glass opacity (GGO) on chest computed tomography (CT). A 51-year-old woman with a history of breast cancer underwent follow-up CT, which revealed solitary pure GGO. The patient developed exertional dyspnea after two years, and CT revealed diffuse centrilobular nodules in addition to GGO, which had increased in size. An antigen avoidance test was performed to diagnose HP, leading to the resolution of CT abnormalities, including the GGO. Our findings suggested that nonfibrotic HP can present as solitary pure GGO.
Databáze: MEDLINE