Korean J Med.  2013 Jan;84(1):105-110.

A Case of Bronchiolitis Interstitial Pneumonitis

Affiliations
  • 1Department of Internal Medicine, Good Samsun Hospital, Busan, Korea.
  • 2Department of Internal Medicine, Pusan National University Yangsan Hospital, Yangsan, Korea. yskim@pusan.ac.kr
  • 3Department of Thoracic Surgery, Pusan National University Yangsan Hospital, Yangsan, Korea.

Abstract

Interstitial lung diseases are diagnosed based on clinical, radiological, and histopathological findings. There are various kinds of interstitial lung diseases involving both the interstitium and bronchioles. Bronchiolitis interstitial pneumonitis (BIP) was recently reported as an independent disease cluster combined with both interstitial pneumonitis and bronchiolitis, which is not classified in a specific category of idiopathic interstitial pneumonia (IIP) by the present classification. In this case report, we introduce a recently experienced patient with BIP. A 68-year-old female visited our hospital with aggravated dyspnea for the past 2 months. Her chest computed tomography scan compared to 6 months ago showed increased reticulonodular lesion and ground glass opacities, suggesting interstitial lung disease. A video-assisted thoracoscopic biopsy from a right lower lobe wedge resection resulted in the diagnosis of BIP. Clinical symptoms, pulmonary lesions, and pulmonary function test results remained stable for 1.5 years after oral glucocorticoid and immunosuppressive therapy.

Keyword

Bronchiolitis; Idiopathic interstitial pneumonias; Biopsy; Steroids

MeSH Terms

Biopsy
Bronchioles
Bronchiolitis
Dyspnea
Female
Glass
Humans
Idiopathic Interstitial Pneumonias
Lung Diseases, Interstitial
Respiratory Function Tests
Steroids
Thorax
Steroids
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