[A case of chronic interstitial pneumonia with transient acute excerbation induced by dust exposure and spontaneous remission by the admission to hospital].
A 54-year-old man was admitted to our hospital with a chief complaint of dyspnea. He has been a plasterer with exposure to dust for 35 years since the age of 19 years. Initially, nonspecific interstitial pneumonia was diagnosed because of findings of ground-glass opacity without honeycombing on chest radiography and CT scanning. Restrictive and diffusional dysfunction of the lung was observed through pulmonary function testing. Videoscope-assisted thoracic surgery revealed pleural plaques and a lung histology showing usual interstitial pneumonia (UIP). Asbestos bodies and peri-bronchial and vascular dust deposition were detected by microscope. This patient recovered without any medication, with verification from the pulmonary function test results, chest radiographs and CT scanning results. The diagnosis was chronic interstitial pneumonia with transient excerbation. The cause of these pulmonary changes was thought to be dust exposure. Therefore, since dust exposure was avoided after the patient's admission to hospital, dust (including asbestos) exposure may be an important factor in the acute excerbation.
Kishimoto
T
T
Department of Occupational Respiratory Center, Okayama Rousai Hospital.
Okahara
M
M
Yamadori
I
I
D002908:Chronic Disease; D003937:Diagnosis, Differential; D004391:Dust / Q000009:adverse effects; D006760:Hospitalization; D006801:Humans; D017563:Lung Diseases, Interstitial / Q000175:diagnosis* / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D011009:Pneumoconiosis / Q000175:diagnosis* / Q000000981:diagnostic imaging; D013902:Radiography, Thoracic; D012075:Remission, Spontaneous
D004391:Dust