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Article in Japanese
Abstract
Case Report
Pulmonary lymphomatoid granulomatosis radiologically mimicking interstitial pneumonia
Hiroshi Ishii Kenji Kishi Hisako Kushima Kazuhiko Hashinaga Kenji Umeki Minoru Ohama Issei Tokimatsu Kazufumi Hiramatsu Jun-ichi Kadota
Department of Infectious Diseases, Oita University Faculty of Medicine
ABSTRACT
We report a rare case of pulmonary lymphomatoid granulomatosis radiologically mimicking interstitial pneumonia. A 57-year-old man was admitted to our hospital because of chest bilateral reticular shadow with sustained cough and breathlessness for 10 years. Chest CT scans showed multiple ground-glass opacities, traction bronchiectasis and cystic change in both lungs, in addition to hilar and mediastinal lymphadenopathy. A histopathologically diagnosis of pulmonary lymphomatoid granulomatosis (angiocentric immunoproliferative lesion, grade 1) was made by thoracoscopic lung biopsy. In this case, serological and immunohistochemical analyses did not show Epstein-Barr virus infection. No clinical or radiological deterioration has been observed thereafter despite no medication.
KEYWORDS
Pulmonary lymphomatoid granulomatosis Epstein-Barr virus Interstitial pneumonia
Received 平成18年10月30日
JJRS, 45(6): 483-488, 2007
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