A Case of Good Syndrome with Pulmonary Lesions Similar to Diffuse Panbronchiolitis
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概要
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We herein present a case of Good syndrome complicated by diffuse pulmonary lesions similar to diffuse panbronchiolitis (DPB). A 45-year-old Japanese man was referred to our department due to recurrent lower respiratory tract infections that had started and ameliorated nine months after thymectomy for pure red cell aplasia and myasthenia gravis. Diffuse centrilobular opacities on chest computed tomography and positivity for HLA-B54 were consistent with DPB. Additionally, hypogammaglobulinemia and a marked decrease of B-lymphocytes were observed, and therefore Good syndrome was considered. Combination therapy with azithromycin and clarithromycin alleviated the patient's respiratory symptoms and reduced the exacerbation of chronic bronchitis.
著者
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Mukae Hiroshi
Department of Anesthesia, Emergency and Critical Care Medical Center, Kitakyushu Municipal Yahata Ho
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Ishimoto Hiroshi
Department of Anesthesia, Emergency and Critical Care Medical Center, Kitakyushu Municipal Yahata Ho
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Yoshii Chiharu
Department Of Respiratory Disease University Of Occupational And Environmental Health
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Yatera Kazuhiro
Department Of Respiratory Disease University Of Occupational And Environ Mental Health
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Kawanami Toshinori
Department Of Respiratory Medicine School Of Medicine University Of Occupational And Environmental H
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Yamasaki Kei
Department Of Respiratory Medicine School Of Medicine University Of Occupational And Environmental H
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Ogoshi Takaaki
Department of Respiratory Medicine, School of Medicine, University of Occupational and Environmental Health, Japan
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Oda Keishi
Department of Respiratory Medicine, University of Occupational and Environmental Health, Japan
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Akata Kentarou
Department of Respiratory Medicine, University of Occupational and Environmental Health, Japan
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Kido Takashi
Department of Respiratory Medicine, University of Occupational and Environmental Health, Japan
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Yoshii Chiharu
Department of Respiratory Medicine, Wakamatsu Hospital of the University of Occupational and Environmental Health, Japan
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