Tuberc Respir Dis > Volume 43(2); 1996 > Article
Tuberculosis and Respiratory Diseases 1996;43(2):285-290.
DOI: https://doi.org/10.4046/trd.1996.43.2.285    Published online April 1, 1996.
Multiple Small Nodular Lung Lesions with Severe Dyspnea.
Suck Chul Yang, Kyung Sang Lee, Ho Joo Yoon, Dong Ho Shin, Sung Soo Park, Jung Hee Lee, Shee Young Hahm, Chul Burm Lee
1Department of Internal Medicine, College of Medicine, Hanyang University, Seoul, Korea.
2Department of Thoracic Surgery, College of Medicine, Hanyang University, Seoul, Korea.
Abstract
Diffuse panbronchiolitis is a chronic inflammatory lung disease of unknown etiology which is characterized by chronic airflow limitation and airway inflammation, predominantly localized in the respiratory bronchioles with infiltration of inflammatory cells, and has typical clinical, radiological and pathological features. Obstructive respiratory functional impairment, occasional symptoms of wheezing, and also cough and sputum resemble the feature of emphysema, bronchial asthma, or chronic bronchitis, respectively. We experienced a case of pathologically proven advanced diffuse panbronchiolitis in a 55-year-old man with productive cough and exertional dyspnea. The chest radiography showed multiple tiny nodular densities on whole lung fields. It was confirmed by thoracoscopy-guided lung biopsy and the patient was improved after initiation of treatment with low-dose erythromycin
Key Words: Diffuse panbronchiolitis, Multiple small pulmonary nodules, Respiratory bronchiole
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