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Diffuse Lung Disease: Diffuse Lung Disease: Interstitial Lung Disease |

TBLB and Dynamic Monitoring Chest CT in Acute Interstitial Pneumonia Diagnosis FREE TO VIEW

Jianquan Zhang, PhD; Ye Qiu
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The First Affiliated Hospital of Guangxi Medical University, Nanning, China


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;149(4_S):A212. doi:10.1016/j.chest.2016.02.219
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SESSION TITLE: Diffuse Lung Disease: Interstitial Lung Disease

SESSION TYPE: Original Investigation Poster

PRESENTED ON: Saturday, April 16, 2016 at 11:45 AM - 12:45 PM

PURPOSE: To report on our experience and literatures with acute interstitial pneumonia (AIP) in which patients underwent early diagnostic by the clinical significance of dynamic monitoring high-resolution computed tomography (HRCT) findings.

METHODS: The present study reported a patient with acute interstitial pneumonia (AIP), who was admitted to hospital for cough, fever and progressive dyspnea. Chest high-resolution computed tomography (HRCT) showed diffuse bilateral infiltrates in rapidly development, which were characterized by grid pattern, cord-like image and ground glass attenuation in subpleural area of bilateral lung. He has a histological proof of diffuse alveolar damage consistent with acute interstitial pneumonia, obtained by transbronchial lung biopsy (TBLB). Pulmonary function tests showed severe restrictive ventilatory dysfunction and moderate diffuse dysfunction. He was clinically diagnosed with AIP.

RESULTS: Though he was treated by methylprednisolone, he died of respiratory failure eventually

CONCLUSIONS: Chest HRCT has a close contact with pathologic phases (exudative, proliferative, and fibrotic) of DAD, which can assist in the diagnosis and assessment of disease stage and prognosis. Close collaboration between clinicians, pathologists and the dynamic monitoring of chest HRCT is highly recommended for early diagnosis and appropriate treatment.

CLINICAL IMPLICATIONS: Close collaboration between clinicians, pathologists and the dynamic monitoring of chest HRCT is highly recommended for early diagnosis and appropriate treatment.

DISCLOSURE: The following authors have nothing to disclose: Jianquan Zhang, Ye Qiu

No Product/Research Disclosure Information


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