Progressive Pulmonary Fibrocystic Changes of Both Upper Lungs in a Patient with Ankylosing Spondylitis.
Ankylosing spondylitis is a chronic inflammatory multisystem disease that primarily affects the axial joints. Pleuropulmonary involvement is an uncommon extra-articular manifestation of ankylosing spondylitis. There is a wide spectrum of pulmonary parenchymal changes in ankylosing spondylitis, beginning in the early stages of the disease and increasing over time. The lesions are usually asymptomatic, and not visible on chest radiographs in early stages. We reported a case of advanced ankylosing spondylitis in a 56-year-old man with progressive pulmonary bullous fibrocystic changes on both upper lobes that were misdiagnosed as tuberculosis in the early stages of the disease.
Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Korea.
Do Youn
DY
Kim
Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Korea.
Seok Jeong
SJ
Lee
Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Korea.
Yon Ju
YJ
Ryu
Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Korea.
Jin Hwa
JH
Lee
Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Korea.
Jung Hyun
JH
Chang
Department of Radiology, Ewha Womans University School of Medicine, Seoul, Korea.
Yookyung
Y
Kim
Cystic Disease of Lung; Spondylitis, Ankylosing