J Korean Med Sci.  2023 Feb;38(6):e45. 10.3346/jkms.2023.38.e45.

Case 7: An 18-Year-Old Man With Sudden Onset Dyspnea

Affiliations
  • 1Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Uijeongbu St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea


Figure

  • Fig. 1 Chest CT of the patient. (A) Cross-sectional image showed bilateral pleural effusion and ill defined patchy ground glass opacities in both lungs (B) coronal image showed patchy ground glass opacities in both lungs and mild interlobular septal thickening.CT = computed tomography.

  • Fig. 2 Liquid based cytology preparation of the bronchoalveolar lavage fluid and pleural fluid (Papanicolaou stain). (A) Cytology of bronchoalveolar lavage fluid at 1,000× magnification. (B) Cytology of pleural effusion fluid at 1,000× magnification shows bud formation (arrow) in eosinophil.

  • Fig. 3 Serial chest X ray images from admission to day 30. Chest X ray on day 1 (A), day 14 (B), and day 30 (C) after steroid treatment.


Reference

1. Shorr AF, Scoville SL, Cersovsky SB, Shanks GD, Ockenhouse CF, Smoak BL, et al. Acute eosinophilic pneumonia among US Military personnel deployed in or near Iraq. JAMA. 2004; 292(24):2997–3005. PMID: 15613668.
Article
2. Sohn JW. Acute eosinophilic pneumonia. Tuberc Respir Dis (Seoul). 2013; 74(2):51–55. PMID: 23483613.
Article
3. Johkoh T, Müller NL, Akira M, Ichikado K, Suga M, Ando M, et al. Eosinophilic lung diseases: diagnostic accuracy of thin-section CT in 111 patients. Radiology. 2000; 216(3):773–780. PMID: 10966710.
Article
4. Ryu JH, Myers JL, Capizzi SA, Douglas WW, Vassallo R, Decker PA. Desquamative interstitial pneumonia and respiratory bronchiolitis-associated interstitial lung disease. Chest. 2005; 127(1):178–184. PMID: 15653981.
Article
5. Rhee CK, Min KH, Yim NY, Lee JE, Lee NR, Chung MP, et al. Clinical characteristics and corticosteroid treatment of acute eosinophilic pneumonia. Eur Respir J. 2013; 41(2):402–409. PMID: 22599359.
Article
6. De Giacomi F, Vassallo R, Yi ES, Ryu JH. Acute eosinophilic pneumonia. causes, diagnosis, and management. Am J Respir Crit Care Med. 2018; 197(6):728–736. PMID: 29206477.
Article
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