Usual Interstitial Pneumonia Associated With Primary Sjogren's Syndrome
| Autor: | Shiro Kusano, Jun-ichi Kadota, Shigeru Kohno, Toru Morikawa, Kaoru Kawakami |
|---|---|
| Rok vydání: | 1995 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Lymphocytosis Critical Care and Intensive Care Medicine Usual interstitial pneumonia Biopsy medicine Humans Lymphoid interstitial pneumonia Lung medicine.diagnostic_test business.industry Pulmonary Complication Respiratory disease Bronchiolitis obliterans organizing pneumonia Middle Aged respiratory system medicine.disease Dermatology respiratory tract diseases Surgery stomatognathic diseases Pneumonia Sjogren's Syndrome Female medicine.symptom Lung Diseases Interstitial Cardiology and Cardiovascular Medicine business |
| Zdroj: | Chest. 108:1756-1758 |
| ISSN: | 0012-3692 |
| DOI: | 10.1378/chest.108.6.1756 |
| Popis: | We describe the first case, to our knowledge, of usual interstitial pneumonia (UIP) as the pulmonary manifestation in primary Sjögren's syndrome (SjS). A 45-year-old woman was admitted to our hospital because of a dry cough and an interstitial shadow on a chest roentgenogram. Labial biopsy and sialogram confirmed a diagnosis of SjS. BAL fluid analysis revealed lymphocytosis with a decreased CD4/CD8 ratio compatible with bronchiolitis obliterans organizing pneumonia or lymphoid interstitial pneumonia. Open-lung biopsy specimen, however, showed evidence of UIP. Open-lung biopsy was a useful and necessary examination to determine the nature of the pulmonary complication in primary SjS. Conservative treatment without corticosteroids maintained a stable condition for a follow-up period of 3 years. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|