Desquamative Interstitial Pneumonia with a Remarkable Increase in the Number of BAL Eosinophils
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概要
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A 57-year old man with desquamative interstitial pneumonia (DIP) showed a marked increase in eosinophils in the bronchoalveolar lavage (BAL) fluid. The patient was referred to our hospital for abnormal shadows on his chest X-ray with no symptoms in May 2007. Computed tomography (CT) showed patchy, peripheral predominate ground-glass opacity. The BAL fluid revealed an increase of the total number of cells, including markedly elevated levels of eosinophils (62.1%), in contrast with only a slight increase of peripheral blood eosinophils, or minimal eosinophils in the alveolar spaces and interstitium of the thoracoscopic lung biopsy specimen. Since the specimens showed findings compatible with a DIP pattern, we diagnosed the patient with DIP. Although it is a rare entity, we should therefore consider DIP in the differential diagnosis when we encounter patients with a marked increase in the number of BAL eosinophils.
- 社団法人 日本内科学会の論文
著者
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Yano Ryozo
Department Of Respiratory Medicine Fukujuji Hospital Japan Anti-tuberculosis Association
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Takayanagi Noboru
Department Of Respiratory Medicine Saitama Cardiovascular And Respiratory Center
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Saito Hiroo
Department Of Mathematical Informatics Graduate School Of Information Science And Technology Univers
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Ubukata Mikio
Department Of Respiratory Medicine Saitama Cardiovascular And Respiratory Center
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Yanagisawa Tsutomu
Department Of Respiratory Medicine Saitama Cardiovascular And Respiratory Center
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Kurashima Kazuyoshi
Department Of Respiratory Medicine Saitama Cardiovascular And Respiratory Center
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Tsuchiya Noriko
Department Of Medicine Institute Of Gastroenterology School Of Medicine Tokyo Women's Medical U
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Kawabata Yoshinori
Division Of Pathology The Research Institute Of Tuberculosis
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Sugita Yutaka
Department Of Respiratory Medicine Saitama Cardiovascular And Respiratory Center
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Ishiguro Takashi
Department Of 2nd Physiology Showa University School Of Medicine
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Matsushita Aya
Department Of Cardiovascular Medicine National Cerebral And Cardiovascular Center
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Harasawa Keiji
Department of Respiratory Medicine, Saitama Cardiovascular and Respiratory Center
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Yoneda Koichiro
Department of Respiratory Medicine, Saitama Cardiovascular and Respiratory Center
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Miyahara Yousuke
Department of Respiratory Medicine, Saitama Cardiovascular and Respiratory Center
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Yamaguchi Shozaburo
Department of Respiratory Medicine, Saitama Cardiovascular and Respiratory Center
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Tokunaga Daidou
Department of Respiratory Medicine, Saitama Cardiovascular and Respiratory Center
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Tsuchiya Noriko
Department of Respiratory Medicine, Saitama Cardiovascular and Respiratory Center
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