Intensive immunosuppressive therapy for endogenous lipoid pneumonia associated with rheumatoid arthritis.
Endogenous lipoid pneumonia is an uncommon inflammatory pulmonary disease that is caused by lipids from an endogenous source, the treatment for which has not been established. We report the first case of endogenous lipoid pneumonia presenting as lung consolidation and which was associated with rheumatoid arthritis. Treatment was successful with intensive immunosuppressive therapy. When a physician finds lung consolidation in a patient with active rheumatic disease, lipoid pneumonia should be considered.
a Clinical Immunology , Dokkyo Medical University School of Medicine , Mibu , Tochigi , Japan.
Hiroko
H
Morita
a Clinical Immunology , Dokkyo Medical University School of Medicine , Mibu , Tochigi , Japan.
Satoko
S
Arai
a Clinical Immunology , Dokkyo Medical University School of Medicine , Mibu , Tochigi , Japan.
Kazuhiro
K
Kurasawa
a Clinical Immunology , Dokkyo Medical University School of Medicine , Mibu , Tochigi , Japan.
Harutsugu
H
Okada
a Clinical Immunology , Dokkyo Medical University School of Medicine , Mibu , Tochigi , Japan.
Ayae
A
Tanaka
a Clinical Immunology , Dokkyo Medical University School of Medicine , Mibu , Tochigi , Japan.
Ryutaro
R
Yamazaki
a Clinical Immunology , Dokkyo Medical University School of Medicine , Mibu , Tochigi , Japan.
Takayoshi
T
Owada
a Clinical Immunology , Dokkyo Medical University School of Medicine , Mibu , Tochigi , Japan.
Reika
R
Maezawa
D001172:Arthritis, Rheumatoid / Q000150:complications*; D018893:Bronchoalveolar Lavage / Q000379:methods; D001999:Bronchoscopy / Q000379:methods; D002779:Cholestasis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology; D003520:Cyclophosphamide / Q000008:administration & dosage*; D004305:Dose-Response Relationship, Drug; D006801:Humans; D007166:Immunosuppressive Agents / Q000008:administration & dosage; D008168:Lung / Q000000981:diagnostic imaging / Q000473:pathology; D008297:Male; D008775:Methylprednisolone / Q000008:administration & dosage*; D008875:Middle Aged; D011014:Pneumonia / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D007166:Immunosuppressive Agents; D003520:Cyclophosphamide; D008775:Methylprednisolone
Lipoid pneumonia; Pulmonary involvement; Rheumatoid arthritis