A Case of Nonspecific Interstitial Pneumonia with Clinical Course of Rapid Aggravation

급속히 악화되는 임상경과를 보인 비특이성 간질성 폐렴 1례

  • Yoo, Byung-Hyun (Department of Internal Medicine, College of Medicine, The Catholic University of Korea) ;
  • Suhr, Ji-Won (Department of Internal Medicine, College of Medicine, The Catholic University of Korea) ;
  • Yoon, Hee-Jeoung (Department of Internal Medicine, College of Medicine, The Catholic University of Korea) ;
  • Baek, Jong-Tae (Department of Internal Medicine, College of Medicine, The Catholic University of Korea) ;
  • Lee, Seung-Hoon (Department of Internal Medicine, College of Medicine, The Catholic University of Korea) ;
  • Paik, Chang-Nyol (Department of Internal Medicine, College of Medicine, The Catholic University of Korea) ;
  • Lee, Ji-Eun (Department of Internal Medicine, College of Medicine, The Catholic University of Korea) ;
  • Kim, Seung-Joon (Department of Internal Medicine, College of Medicine, The Catholic University of Korea) ;
  • Park, Sung-Hak (Department of Internal Medicine, College of Medicine, The Catholic University of Korea) ;
  • Lee, Eun-Hee (Department of Pathology, College of Medicine, The Catholic University of Korea)
  • 유병현 (가톨릭대학교 내과학교실) ;
  • 서지원 (가톨릭대학교 내과학교실) ;
  • 윤희정 (가톨릭대학교 내과학교실) ;
  • 백종태 (가톨릭대학교 내과학교실) ;
  • 이승훈 (가톨릭대학교 내과학교실) ;
  • 백창렬 (가톨릭대학교 내과학교실) ;
  • 이지은 (가톨릭대학교 내과학교실) ;
  • 김승준 (가톨릭대학교 내과학교실) ;
  • 박성학 (가톨릭대학교 내과학교실) ;
  • 이은희 (가톨릭대학교 병리학교실)
  • Published : 2001.07.30

Abstract

Nonspecific interstitial pneumonia (NSIP) was first described as a new category of idiopathic interstitial pneumonia in 1994. This is a disease with a more insidious onset and has a chronic course. The histological findings are unusual for other idiopathic interstitial pneumonia cases (usual interstitial pneumonia, diffuse interstitial pneumonia, and acute interstitial pneumonia). In contrast to NSIP, acute interstitial pneumonia (AIP) has an acute onset and a fulminant course with the rapid development of respiratory failure. A pathological examination demonstrated characteristic diffuse interstitial fibrosis, hyaline membranes, thrombi, and architectural derangement. Here we report a 48-year-old woman who was diagnosed pathologically NSIP, but with a rapid progressive course similar to AIP.

급속히 악화되는 임상 경과를 보인 비특이성 간질성폐렴을 경험하였기에 보고하는 바이다.

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