Cigarette Smoking-induced Acute Eosinophilic Pneumonia Showing Tolerance in Broncho-alveolar Lavage Findings

Yoshihiro KlTAHARA; Kae MATSUMOTO; Yasuyuki TAOOKA; Chie MORITANI; Kenji NAKAMURA; Nobuyuki OHASHI; Kazuhiro DAIDO; Ken-ichi ARITA

doi:10.2169/internalmedicine.42.1016

Yoshihiro KlTAHARA, Kae MATSUMOTO, Yasuyuki TAOOKA, Chie MORITANI, Kenji NAKAMURA, Nobuyuki OHASHI, Kazuhiro DAIDO, Ken-ichi ARITA

著者情報

Yoshihiro KlTAHARA
The Department of Respiratory Disease, Hiroshima Red Cross Hospital and Atomic Bomb Survivors Hospital
Kae MATSUMOTO
The Department of Respiratory Disease, Hiroshima Red Cross Hospital and Atomic Bomb Survivors Hospital
Yasuyuki TAOOKA
The Department of Respiratory Disease, Hiroshima Red Cross Hospital and Atomic Bomb Survivors Hospital
Chie MORITANI
The Department of Respiratory Disease, Hiroshima Red Cross Hospital and Atomic Bomb Survivors Hospital
Kenji NAKAMURA
The Department of Respiratory Disease, Hiroshima Red Cross Hospital and Atomic Bomb Survivors Hospital
Nobuyuki OHASHI
The Department of Respiratory Disease, Hiroshima Red Cross Hospital and Atomic Bomb Survivors Hospital
Kazuhiro DAIDO
The Department of Respiratory Disease, Hiroshima Red Cross Hospital and Atomic Bomb Survivors Hospital
Ken-ichi ARITA
The Department of Respiratory Disease, Hiroshima Red Cross Hospital and Atomic Bomb Survivors Hospital

キーワード: cigarette smoking, acute eosinophilic pneumonia, broncho-alveolar lavage, tolerance, multiple nodular shadows

ジャーナルフリー

2003 年 42 巻 10 号 p. 1016-1021

DOI https://doi.org/10.2169/internalmedicine.42.1016

詳細

抄録

A 19-year-old man was admitted due to acute respiratory failure. He had started cigarette smoking (CS) about three weeks prior to onset. Multiple nodular shadows and patchy infiltrations were found on chest computed tomography. His respiratory state improved promptly by intravenous methylprednisolone. He resumed CS soon after discharge without any symptoms. We suspected CS-induced acute eosinophilic pneumonia and performed broncho-alveolar lavage (BAL) about one month after onset. The proportion of eosinophils in BAL fluid was 72%. A second BAL was performed about 18 months after onset and BAL fluid included no eosinophils, despite the fact that he had continued CS.
(Internal Medicine 42: 1016-1021, 2003)

責任著者(Corresponding author)

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