Nihon Kyōbu Shikkan Gakkai zasshi
-
Nihon Kyobu Shikkan Gakkai Zasshi · Nov 1997
Review Case Reports[A clinical study of 5 cases of acute eosinophilic pneumonia--the relationship between beginning to smoke and acute eosinophilic pneumonia].
We encountered 5 cases of acute eosinophilic pneumonia. All cases were young men who had recently begun smoking, and they showed an acute onset hypoxemia, diffuse shadows on chest X-ray, an elevation of eosinophils in the peripheral blood and broncho-alveolar lavage fluid, and rapid recovery. One of the 5 cases showed a re-elevation of eosinophils in the peripheral blood and broncho-alveolar lavage fluid after a smoking challenge test. It appears that one of the causes of acute eosinophilic pneumonia is beginning to smoke.
-
Nihon Kyobu Shikkan Gakkai Zasshi · Jul 1997
Review Case Reports[Mediastinal esophago-bronchogenic cyst presenting as a single mass].
An abnormal shadow was found on a chest X-ray film of a 42-year-old man. The mass was 17 x 12 x 11 cm, smooth, round, homogeneous, and was seen in the left upper lung field. Chest computed tomography revealed a cystic mass in contact with the left lung, the chest wall, the esophagus, and the aorta. ⋯ The final diagnosis was mediastinal esophago-bronchogenic cyst. In previously reported cases, two cystic masses were connected by a canal. The findings in this case support the theory by Yoshii that this type of cyst originates from the diverticulum of the foregut near the lung bud.
-
Nihon Kyobu Shikkan Gakkai Zasshi · Dec 1996
Review[Thoracoscopic surgery for diagnosis and treatment of pleural and mediastinal disease].
We studied the usefulness of thoracoscopic surgery in the diagnosis and treatment of pleural and mediastinal lesions. 1. Thoracoscopic surgery was the best method for biopsy of pleural lesions or effusion-retaining disease. Thoracoscopic surgery allowed extensive intrathoracic inspection and collection of relatively large tissue samples, even though it is less invasive than thoracotomy. 2. ⋯ Thoracoscopic surgery is indicated for treatment of the following five pleural diseases: (1) benign pleural tumors; (2) localized mesothelioma; (3) persistent pleural effusions; (4) pyothorax; and (5) chylothorax. 4. Benign mediastinal tumor is a clear indication for thoracoscopic surgery, but utmost caution must be exercised in applying this technique to the treatment of malignant tumors. 5. Thoracoscopic extended thymectomy with a collar incision of the neck is a useful and relatively non-invasive technique for the treatment of myasthenia gravis without thymoma.
-
Nihon Kyobu Shikkan Gakkai Zasshi · Sep 1995
Review Case Reports[Diffuse panbronchioliltis associated with bullous pemphigoid].
A 64-year-old woman complained of multiple blisters in 1990. She had had a productive cough since 1975. Immunofluorescence study of a specimen obtained from a skin biopsy showed staining in a linear pattern for both IgG and C3 in the epithelial basement membrane zone (BMZ) of the dermal-epidermal junction, and a high titer of anti-BMZ antibody. ⋯ Pulmonary function tests showed a combined destructive-restrictive defect and hypoxemia (PaO2 = 58.5 Torr). From these findings diffuse panbronchiolitis was diagnosed. A low dose of erythromycin alleviated the patient's pulmonary symptoms and improved the chest radiographic findings.
-
Nihon Kyobu Shikkan Gakkai Zasshi · Jul 1995
Review Case Reports[A case of acute eosinophilic pneumonia: bronchoalveolar lavage findings before and after steroid treatment].
An 18-year-old woman presented with coughing, fever, progressive dyspnea, and diffuse infiltrates on the chest X-ray film. Analysis of bronchoalveolar lavage fluid showed 73% eosinophils. Acute eosinophilic pneumonia was diagnosed. ⋯ Precipitating antibodies against four kinds of fungi, including Trichoderma viridae, were noted in the serum, but the environmental provocation test was negative and those fungi were not detected in the environmental culture growth. Comparison of bronchoalveolar lavage findings obtained before and after steroid treatment can provide information on the mechanism of eosinophil accumulation in the lung. This case also draws attention to the relationship between acute and chronic eosinophilic pneumonia.