Abstract
A 65-year-old woman whose parents were from Okinawa Prefecture, had productive cough and bilateral diffuse nodular lesions on chest X-ray. She had been shown a human T-cell lymphotropic virus type-1 (HTLV-1) carrier. Video-assisted thoracoscopic lung biopsy showed marked peribronchiolar infiltration of lymphocytes and stenosis of bronchioles. HTLV-1 associated bronchiolo-alveolar disorder (HABA) was diagnosed. The symptoms, hypoxemia and chest X-ray findings improved with oral erythromycin. However, expiratory chest CT showing mosaic perfusion, pulmonary function test demonstrating increased thoracic gas volume, and ventilation scintigraphy resulting in decreased clearance during 8 years, all of those findings indicated progression of air trapping. Abnormalities on chest CT partially improved, but bronchiolar lesions have deteriorated. Expiratory chest CT, body phlethysmography and ventilation scintigraphy were recommended to clarify the course of HABA.
| Original language | English |
|---|---|
| Pages (from-to) | 1055-1058 |
| Number of pages | 4 |
| Journal | Nihon Kokyūki Gakkai zasshi = the journal of the Japanese Respiratory Society |
| Volume | 46 |
| Issue number | 12 |
| Publication status | Published - 2008 Dec |
| Externally published | Yes |
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ASJC Scopus subject areas
- Medicine(all)
Cite this
A case of HTLV-1 associated bronchiolo-alveolar disorder showing progressive air trapping. / Mikita, Kei; Kobayashi, Hideo; Kanoh, Soichiro; Ozeki, Yuichi; Motoyoshi, Kazuo.
In: Nihon Kokyūki Gakkai zasshi = the journal of the Japanese Respiratory Society, Vol. 46, No. 12, 12.2008, p. 1055-1058.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - A case of HTLV-1 associated bronchiolo-alveolar disorder showing progressive air trapping
AU - Mikita, Kei
AU - Kobayashi, Hideo
AU - Kanoh, Soichiro
AU - Ozeki, Yuichi
AU - Motoyoshi, Kazuo
PY - 2008/12
Y1 - 2008/12
N2 - A 65-year-old woman whose parents were from Okinawa Prefecture, had productive cough and bilateral diffuse nodular lesions on chest X-ray. She had been shown a human T-cell lymphotropic virus type-1 (HTLV-1) carrier. Video-assisted thoracoscopic lung biopsy showed marked peribronchiolar infiltration of lymphocytes and stenosis of bronchioles. HTLV-1 associated bronchiolo-alveolar disorder (HABA) was diagnosed. The symptoms, hypoxemia and chest X-ray findings improved with oral erythromycin. However, expiratory chest CT showing mosaic perfusion, pulmonary function test demonstrating increased thoracic gas volume, and ventilation scintigraphy resulting in decreased clearance during 8 years, all of those findings indicated progression of air trapping. Abnormalities on chest CT partially improved, but bronchiolar lesions have deteriorated. Expiratory chest CT, body phlethysmography and ventilation scintigraphy were recommended to clarify the course of HABA.
AB - A 65-year-old woman whose parents were from Okinawa Prefecture, had productive cough and bilateral diffuse nodular lesions on chest X-ray. She had been shown a human T-cell lymphotropic virus type-1 (HTLV-1) carrier. Video-assisted thoracoscopic lung biopsy showed marked peribronchiolar infiltration of lymphocytes and stenosis of bronchioles. HTLV-1 associated bronchiolo-alveolar disorder (HABA) was diagnosed. The symptoms, hypoxemia and chest X-ray findings improved with oral erythromycin. However, expiratory chest CT showing mosaic perfusion, pulmonary function test demonstrating increased thoracic gas volume, and ventilation scintigraphy resulting in decreased clearance during 8 years, all of those findings indicated progression of air trapping. Abnormalities on chest CT partially improved, but bronchiolar lesions have deteriorated. Expiratory chest CT, body phlethysmography and ventilation scintigraphy were recommended to clarify the course of HABA.
UR - http://www.scopus.com/inward/record.url?scp=63149193445&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=63149193445&partnerID=8YFLogxK
M3 - Article
C2 - 19195211
AN - SCOPUS:63149193445
VL - 46
SP - 1055
EP - 1058
JO - Respiratory Investigation
JF - Respiratory Investigation
SN - 2212-5345
IS - 12
ER -