A case of Ankylosing Spondylitis Associated with Fibrobullous Lung Lesion

Kim, Young Soon; Na, Uh Kyun; Chung, Yeon Tae; Park, Chun Sik

doi:1988.35.2.138

Tuberc Respir Dis > Volume 35(2); 1988 > Article

Case Report

Tuberculosis and Respiratory Diseases 1988;35(2):138-143.
DOI: https://doi.org/10.4046/trd.1988.35.2.138 Published online June 1, 1988.

A case of Ankylosing Spondylitis Associated with Fibrobullous Lung Lesion

Young Soon Kim, Uh Kyun Na, Yeon Tae Chung, Chun Sik Park

Department of Internal Medicine, Soon Chun Hyang University, College of Medicine, Seoul, korea

강직성척추염에 동반된 섬유성 동공성 폐질환 1예

김영순, 나우균, 정연태, 박춘식

Abstract

Ankylosing spondylitis is a multisystem disease. It’s extraskeletal manifestations contain fibrobullous lesions in upper lobes of lung which are confused with pulmonary tuberculosis. We report a case of 59-year-old man with ankylosing spondylitis who has fibrobullous lung lesions which was confused with pulmonary tuberculosis. On radiological examinations, he had bamboo spine, kyphosis and severely narrowed sacroiliac joint space. HLA B-27 was positive. He had fibrobullous lung lesions in both upper lobes which had not progressed for 6 years without antituberculosis medications. And then he took antituberculous medications for 2 years, but symptomatic and radiological improvement were not developed. Multiple sputum A FB stains were negative. So, we conclude that he has fibrobullous pulmonary involvements of ankylosing spondylitis.