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A Case of Severe Summer-Type Hypersensitivity Pneumonitis Treated with High-Dose Administration of Steroid.
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- Arai Makoto
- Chest Institute Department of Medicine, Tokyo Women's Medical College
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- Kawada Hiroshi
- Chest Institute Department of Medicine, Tokyo Women's Medical College
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- Kaburagi Takayuki
- Chest Institute Department of Medicine, Tokyo Women's Medical College
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- Sakai Noritaka
- Chest Institute Department of Medicine, Tokyo Women's Medical College
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- Kudou Yumiko
- Chest Institute Department of Medicine, Tokyo Women's Medical College
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- Kawakami Masahiko
- Chest Institute Department of Medicine, Tokyo Women's Medical College
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- Konno Kimio
- Chest Institute Department of Medicine, Tokyo Women's Medical College
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- Takizawa Takao
- Chest Institute Department of Medicine, Tokyo Women's Medical College
Bibliographic Information
- Other Title
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- ステロイド・パルス療法を施行した重症夏型過敏性肺臓炎の１例
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Description
A 40-year-old man who lived in a wooden house built 30 years ago presented with complaints of fever, dry cough and dyspnea. Chest X-ray findings showed interstitial shadows throughout bilateral lung fields. After admission, high-dose administration of 3000mg of methylprednisolone was performed because of deterioration of chest X-ray shadows and symptoms. In a week, clinical data and symptoms improved. Findings of BAL fluid on admission revealed a relative increase of lymphocytes, neutrophils and mast cells, and pathological findings of transbronchial lung biopsy revealed non-caseous granulation and alveolitis. Precipitating antibodies and indirect fluorescent antibodies against Trichosporon cutaneum and Cryptococcus neoformans had positive reactions and T. cutaneum was isolated and identified from the patient's house. A diagnosis of summer-type hypersensitivity pneumonitis was made according to the criteria advocated by Ando et al.<br>This seemed to be a rare case of summer-type hypersensitivity pneumonitis prolonged after isolation from his normal living environment, successfully treated by high-dose administration of steroid.
Journal
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- The Japanese journal of thoracic diseases
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The Japanese journal of thoracic diseases 29 (11), 1457-1463, 1991
The Japanese Respiratory Society
