A SUCCESSFUL THERAPY WITH PLASMA-EXCHANGE FOR INTERSTITIAL PNEUMONIA OF PROGRESSIVE SYSTEMIC-SCLEROSIS

被引：5

作者：

TAMURA, K

AKIYAMA, J

OONO, K

KADOWAKI, S

SHIMADA, T

机构：

[1] Departments of Internal Medicine, Shimada Municipal Hospital, Shimada

[2] Respiratory Disease, Shimada Municipal Hospital, Shimada

来源：

INTERNAL MEDICINE | 1992年 / 31卷 / 05期

关键词：

BRONCHOALVEOLAR LAVAGE; COLLAGEN DISEASE; IMMUNOSUPPRESSIVE THERAPY;

D O I：

10.2169/internalmedicine.31.649

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 47-year-old woman who was diagnosed as progressive systemic sclerosis (PSS) had acute and severe interstitial pneumonia. Based on the results of her chest roentgenogram, computed tomography, transbronchial lung biopsy (TBLB) and bronchoalveolar lavage (BAL), her interstitial pneumonia was considered to be atypical of PSS. Although she was treated with corticosteroid, methylprednisolone pulse therapy and immunosuppressive drug, the effect of these drugs was insufficient as treatment for the interstitial pneumonia. Therefore, plasma exchange was attempted. After plasma exchange was carried out for three days, her symptoms improved as well as the laboratory data and chest roentgenogram without any severe side effects. We recommend plasma exchange for interstitial pneumonia of PSS as an effective treatment.

引用

页码：649 / 654

页数：6

共 29 条

[1]

Dau P.C., Kahaleh M.B., Sagebiel R.W., Plasmapheresis and immunosuppressive drug therapy in scleroderma, Arthritis Rheum, 24, 9, (1981)

[2]

Mascaro G., Cadario G., Bordin G., Et al., Plasma exchange in the treatment of nonadvanced stage of progressive systemic sclerosis, J Clin Apheresis, 3, (1987)

[3]

Capodicasa G., Santo N.G., Galione A., Et al., Clinical effectiveness of apheresis in the treatment of progressive systemic sclerosis, Int J Artif Organs, 6, (1982)

[4]

Rodnam G.P., The natural history of progressive systemic sclerosis (diffuse scleroderma), Bull Rheum Dis, 13, (1963)

[5]

D'angelo W.A., Fries J.F., Masi A.T., Shulman L.E., Pathologic observations in systemic sclerosis (scleroderma): a study of fifty-eight autopsy cases and fifty-eight matched controls, Am J Med, 46, (1969)

[6]

Medsger T.A., Masi A.T., Rodnam G.P., Benedek T.G., Robinson H., Survival with systemic sclerosis (scleroderma). A life-table analysis of clinical and dermographic factors in 309 patients, Ann Intern Med, 75, (1971)

[7]

Epler G.R., Colby T.V., McLoud T.C., Carrington C.B., Gaensler E.A., Bronchiolitis obliterans organizing pneumonia, N Engl J Med, 312, (1985)

[8]

Chandler P.W., Shin M.S., Friedman S.E., Myers J.L., Katzenstein A.L., Radiographic manifestations of bronchiolitis obliterans with organizing pneumonia vs usual interstitial pneumonia, Am J Roentgenol, 147, (1986)

[9]

Muller N.L., Guerry-Force M.L., Staples C.A., Wright J.L., Et al., Differential diagnosis of bronchiolitis obliterans with organizing pneumonia and usual interstitial pneumonia: clinical, functional, and radiologic findings, Thorac Radiol, 162, (1987)

[10]

Guerry-Force M.L., Muller N.L., Wright J.L., Wiggs B., Et al., A comparison of bronchiolitis obliterans with organizing pneumonia, usual interstitial pneumonia, and small airway disease, Am Rev Respir Dis, 135, (1987)

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