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Article in Japanese
Abstract
Case Report
A case of lymphomatoid granulomatosis with rapidly progressive respiratory failure
Yu Kusakaa Tsukasa Okamotoa Tomoko Sakaia Hiroshi Takasakib Takehiko Obab Susumu Isogaib
aDepartment of Respiratory Medicine, Tokyo Medical and Dental University
bDepartment of Respiratory Medicine, Ome Municipal General Hospital
ABSTRACT
A 63-year-old woman with persistent fever visited our hospital. A chest CT scan demonstrated multiple pulmonary nodules. Subsequently, we performed a CT-guided percutaneous lung biopsy. A week later the pulmonary nodules enlarged rapidly and ground-glass opacities appeared diffusely in both lung fields. The patient developed acute respiratory failure requiring mechanical ventilation. We diagnosed lymphomatoid granulomatosis grade III based on the histological findings and started chemotherapy with rituximab, which was effective temporarily. However, the tumor quickly progressed and the patient's health deteriorated; she died a month and a half after the first medical examination. Because of the extremely acute progression, we herein report the details of this case.
KEYWORDS
Lymphomatoid granulomatosis Rituximab Ground glass opacity
Received 14 Jun 2016 ／ Accepted 26 Dec 2016
AJRS, 6(3): 205-209, 2017
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