Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Bronchocentric Granulomatosis Associated with Aspergillus

아스페르길루스와 연관된 기관지중심성 육아종증 1예

  • Kim, Yang-Ki (Department of Internal Medicine, College of Medicine, Soonchunhyang University) ;
  • Jun, Ki-Won (Department of Internal Medicine, College of Medicine, Soonchunhyang University) ;
  • Kim, Chul (Department of Internal Medicine, College of Medicine, Soonchunhyang University) ;
  • Kim, Ki-Up (Department of Internal Medicine, College of Medicine, Soonchunhyang University) ;
  • Ki, Shin-Young (Department of Internal Medicine, College of Medicine, Soonchunhyang University) ;
  • Uh, Soo-Taek (Department of Internal Medicine, College of Medicine, Soonchunhyang University) ;
  • Kim, Yong-Hoon (Department of Internal Medicine, College of Medicine, Soonchunhyang University) ;
  • Park, Chun-Sik (Department of Internal Medicine, College of Medicine, Soonchunhyang University)
  • 김양기 (순천향대학교 의과대학 내과학교실) ;
  • 전기원 (순천향대학교 의과대학 내과학교실) ;
  • 김철 (순천향대학교 의과대학 내과학교실) ;
  • 김기업 (순천향대학교 의과대학 내과학교실) ;
  • 기신영 (순천향대학교 의과대학 내과학교실) ;
  • 어수택 (순천향대학교 의과대학 내과학교실) ;
  • 김용훈 (순천향대학교 의과대학 내과학교실) ;
  • 박춘식 (순천향대학교 의과대학 내과학교실)
  • Published : 1998.12.30
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Abstract

Bronchocentric granulomatosis(BCG), first defined in 1973, consists of granulomatous replacement of bronchial mucous membrane, often with heavy eosinophilic reaction within and about the involved bronchi. Etiologic factors are from hypersensitivity reaction for aspergillus, most often from idiopathic form, and in others from being associated with mycobacterium, ecchinococcus, rheumatoid disease, ankylosing spodylitis, and glomerulonephritis. Diagnosis is responsible only for pathologic findings and, in many cases, is confirmed in postoperative findings with misleading for tumor, tuberculosis, infectious or Wegener's granulomatosis. We report a case of bronchocentric granulomatosis associated with aspergillus.

본 증례는 평소 건강히 지내던 38세 여자에서 아토피나 천식과의 연관성이 없이 호흡기계 증상 및 폐침윤을 동반한 예로, 비특이적인 증상 및 방사선학적 소견으로 일반적인 폐침윤에 대한 치료에 반응하지 않고 병변이 좌폐상엽의 설상엽에 국한되어 있어 수술을 통해 확진 하였기에 문헌고찰과 함께 보고하는 바이다.

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