Aoshima M, Kameyama S, Murai Y, Yokose T, Chiba K, Kimura Y, Ozawa A
Department of Respiratory Diseases, Tokyo Metropolitan Tama Geriatric Hospital, Japan.
Nihon Kyobu Shikkan Gakkai Zasshi. 1991 Sep;29(9):1195-201.
A 67-year-old male diagnosed clinically as having rheumatoid pleuritis and bronchiolitis was treated with adrenocorticosteroid. His clinical findings improved, but following the tapering of the steroid dose, exacerbation occurred. After the steroid dose was increased, serological findings improved, but chest X-ray findings revealed no improvement. To re-evaluate the etiology of the bronchiolar lesion, open lung biopsy was performed. The biopsy specimen showed lymphocytic infiltration and formation of lymphoid follicles in and around the bronchioles. The pulmonary lesion was diagnosed as follicular bronchiolitis.
一名67岁男性，临床诊断为类风湿性胸膜炎和细支气管炎，接受了肾上腺皮质类固醇治疗。他的临床症状有所改善，但在类固醇剂量逐渐减小时，病情加重。增加类固醇剂量后，血清学检查结果有所改善，但胸部X线检查结果未见改善。为重新评估细支气管病变的病因，进行了开胸肺活检。活检标本显示细支气管内及周围有淋巴细胞浸润和淋巴滤泡形成。肺部病变被诊断为滤泡性细支气管炎。
