Pulmonary Langerhans' cell histiocytosis.

  • Sakugawa Makoto
    Department of Internal Medicine II Okayama University Graduate School of Medicine and Dentistry
  • Tanimoto Yasushi
    Department of Internal Medicine II Okayama University Graduate School of Medicine and Dentistry
  • Miyahara Nobuaki
    Department of Internal Medicine II Okayama University Graduate School of Medicine and Dentistry
  • Kanehiro Arihiko
    Department of Internal Medicine II Okayama University Graduate School of Medicine and Dentistry
  • Kataoka Mikio
    Department of Internal Medicine II Okayama University Graduate School of Medicine and Dentistry
  • Tanimoto Mitsune
    Department of Internal Medicine II Okayama University Graduate School of Medicine and Dentistry
  • Date Hiroshi
    Department of Surgery II Okayama University Graduate School of Medicine and Dentistry
  • Shimizu Nobuyoshi
    Department of Surgery II Okayama University Graduate School of Medicine and Dentistry
  • Yamadori Ichiro
    Department of Laboratory Medicine, National Okayama Medical Center
  • Shibayama Takuo
    Department of Respiratory Medicine, Tsuyama Central Hospital

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Other Title
  • 肺Langerhans細胞性組織球症の1例
  • コンゲツ ノ ショウレイ ハイ Langerhans サイボウセイ ソシキキュウショウ ノ 1レイ

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Abstract

症例は19歳,男性. 17歳時より1日20本の喫煙歴あり.検診にて胸部異常陰影を指摘され,胸部CTでは両側上肺野に多発性嚢胞性病変を認めた.気管支肺胞洗浄液(BALF)の塗抹標本にてCDla陽性細胞およびS-100陽性細胞の増加を認め,胸腔鏡下肺生検により肺Langerhans細胞性組織球症(肺LCH)の診断が得られた.肺LCHは喫煙の関与が指摘されている稀な疾患であり,文献的考察を加えて報告する.

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