Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case Report of Localized Form of Follicular Bronchitis/Bronchiolitis with Fibrosis

종괴성 병변을 보인 여포성 기관지염/세기관지염 1예 보고

  • Kim, Myeong-Seong (Department of Internal Medicine, Chonnam University Medical School) ;
  • Lim, Sung-Chul (Department of Internal Medicine, Chonnam University Medical School) ;
  • Kim, Yun-Hyeon (Department of Radiology, Chonnam University Medical School) ;
  • Na, Kook-Joo (Department of Chest Surgery, Chonnam University Medical School) ;
  • Kim, Kyung-Soo (Department of Anatomical Pathology, Kwangju Christian Hospital) ;
  • Kwon, Kun-Young (Department of Anatomircal Pathology, Kyemyung University Medical School Daeku) ;
  • Kim, Young-Chul (Department of Internal Medicine, Chonnam University Medical School) ;
  • Park, Kyung-Ok (Department of Internal Medicine, Chonnam University Medical School)
  • 김명성 (전남대학교 의과대학 내과) ;
  • 임성철 (전남대학교 의과대학 내과) ;
  • 김윤현 (전남대학교 의과대학 방사선과) ;
  • 나국주 (전남대학교 의과대학 흉부외과) ;
  • 김경수 (광주기독병원 해부병리과) ;
  • 권건영 (계명의대 해부병리과) ;
  • 김영철 (전남대학교 의과대학 내과) ;
  • 박경옥 (전남대학교 의과대학 내과)
  • Published : 1998.02.28
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Abstract

Follicular bronchitis/bronchiolitis is pathologically characterized by peribronchiolar lymphoid follicles, which is one of reactive pulmonary lymphoid disorders. It is associated with 1) the result of infections such as mycoplasma, chlamydia etc., 2) immunodeficiency syndromes, 3) connective tissue diseases such as rheumatoid arthritis and Sjogren's syndrome and 4) local or systemic hypersensitivity reaction. And it can be also developed without obvious causes and associated diseases(idiopathic). Radiologically it represents as bilateral interstitial patterns of pulmonary infiltrates. In this case, a 49 year-old woman was presented with intermittent cough and sputum. On chest X-ray and CT, $5\times4$ cm sized mass in right upper lobe and paratracheal lymphadenopathies were detected, by which lung malignancy was suspected. Bronchoscopy, trans bronchial lung biopsy and transthoracic needle aspiration showed non-specific findings only. After right upper lobectomy, we could confirm a case of follicular bronchiolitis which presented as an unusual mass-like radiologic finding.

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