Weekly Chest CasesArchive of Old Cases

Case No : 323 Date 2004-01-03

  • Courtesy of Jae-Woo Song, M.D. / Asan Medical Center, Ulsan University, Seoul, Korea
  • Age/Sex 25 / F
  • Chief ComplaintFever, chill, cough for 2 weeks. Intermittent mild fever and chest discomfort during last 3 years
  • Figure 1
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  • Figure 3
  • Figure 4
  • Figure 5

Diagnosis With Brief Discussion

Diagnosis
Chronic eosinophilic pneumonia
Radiologic Findings
Hospital course and Lab. findings

2003. 3. 17.: Peripheral eosinophilia 1480 (15.8%)

2003. 3. 18.: BAL fluid esosinophil 251 (68%)

Microbiologic studies for bacteria, virus, or parasite were negative.

Chest PA radiograph shows multifocal patchy increased opacities in both lungs with upper lung zone and some peripheral predominance. HRCT scans show multifocal non-segmental patchy consolidation and ground glass opacity in both lungs, predominantly peripheral and upper lung zones.

(Chest radiograph, 2 weeks after steroid therapy)
Brief Review
Please refer to case 163 and 268
References
Please refer to case 163 and 268
Keywords
Lung, Eosinophilic lung disease,

No. of Applicants : 40

▶ Correct Answer : 32/40,  80.0%
  • - Akdeniz University School of Medicine, Antalya, Turkey Gokhan Arslan
  • - Annecy Hospital, France Gilles Genin
  • - Armed Force Seoul Hospital, Korea Change Min Park
  • - Asan Medical Center, Korea Eun Jin Chae
  • - Auxerre Hospital, France Sebastien Larive
  • - Centre d'imagerie Jacques Callot, Nancy, France Lionel Cannard
  • - CH Lyon sud, France Xavier Riviere
  • - Chonnam National University Hospital, Korea Seok-kyun Chung
  • - CHU Nancy-Brabois, France Denis Regent
  • - Chungju Hospital, Konkuk University, Korea Chang Hee Lee
  • - CIM Saint Dizier, France JC Leclerc
  • - Dodoens Ziekenhuis Mechelen, Belgium Ivan Pilate
  • - Dong-A University Hospital, Korea Ki-Nam Lee
  • - Escola Paulista de Medicina, Fleury, Sao Paulo, Brazil Gustavo Meirelles
  • - Ewha Women's University Hospital, Korea Sung Shine Shim
  • - Geoje Baek Hospital , Gyungnam, Korea James Lim
  • - Gwangmyoung Sung-Ae Hospital, Korea Jiyong Rhee
  • - Hangang SacredHeart Hospital, Korea Eil Seong Lee
  • - Homs National Hospital, Homs, Syria Rami Abou Zalaf
  • - Incheon Sarang Hospital, Korea Jung Hee Kim
  • - Kyung Hee university medical center, Korea Sang-Won Kim
  • - Kyunghee University Hospital, Korea Kyung Ran Ko
  • - Mallinckrodt Institute of Radiology, USA Jin Mo Goo
  • - Ondokuz Mayis University, Samsun, Turkey Cetin Celenk
  • - Seoul National University Hospital, Korea Sang-Youn Kim
  • - Seoul National University Hospital, Korea Eun-Ah Park
  • - Seoul National University Hospital, Korea Jung-Gi Im
  • - Shin Kong Wu Ho-Su Memorial Hsopital, Taipei, Taiwan Chen-Chun Lin
  • - Social Security Hospital, Ankara, Turkey Meric Tuzun
  • - Sunlin hospital, Korea Won Hyuk Shin
  • - Upasana Hospital, Kollam, India Joy A Thomas
  • - Yonsei University, Severance Hospital, Korea Young-Jin Kim
▶ Semi-Correct Answer : 4/40,  10.0%
  • - Avicenne Hospital, Bobigny Pierre Yves Brillet
  • - Clinic 1, Russia Lepikhina Dasha
  • - Ev. Krkhs. Hubertus, Berlin, Germany Michael Weber
  • - Jeju Hanmaeum Hospital, Korea Kwon Hyoung Kim
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