title: [A case of severe radiation pneumonitis--a trial of plasma exchange].
abstract: A 77-year-old man underwent radiotherapy for the squamous cell carcinoma of the right lung. Two months after the 60Gy/30fr irradiation was completed, he complained of dyspnea and his chest X-ray showed ground glass opacities and reticular shadows in both lung fields. Severe radiation pneumonitis was diagnosed. Two grams of methylprednisolone did not improve his symptoms and on the next day his hypoxemia worsened. We then tried plasma exchange because of his critical status. His respiratory status improved rapidly after plasma exchange and his chest X-ray showed remarkable improvement 10 days later. We think this case suggests the effectiveness of plasma exchange for severe radiation pneumonitis.
authors: Department of Respiratory Medicine, National Hospital Organization Himeji Medical Center.
authors: Tomoko
authors: T
authors: Miyagawa
authors: Yoshirou
authors: Y
authors: Mochizuki
authors: Yasuharu
authors: Y
authors: Nakahara
authors: Tetsuji
authors: T
authors: Kawamura
authors: Shin
authors: S
authors: Sasaki
authors: Akie
authors: A
authors: Morimoto
authors: Hiroaki
authors: H
authors: Tsukamoto
authors: Tetsuichirou
authors: T
authors: Mayumi
authors: Hisako
authors: H
authors: Tabata
authors: Hideaki
authors: H
authors: Okada
authors: Etsuko
authors: E
authors: Watanabe
authors: Takayoshi
authors: T
authors: Gotou
authors: Kazuyuki
authors: K
authors: Mimura
authors: Rinko
authors: R
authors: Katsuda
mesh_terms: D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000532:radiotherapy; D006801:Humans; D008175:Lung Neoplasms / Q000532:radiotherapy; D008297:Male; D010951:Plasma Exchange; D017564:Radiation Pneumonitis / Q000628:therapy*