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대한흉부영상의학회 Weekly Case 검색
대한흉부영상의학회 Weekly Case 검색
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Weekly Chest CasesImaging Conference Cases

Case No : 10

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  • Age/Sex 71 / M
  • Case Title Cough, dyspnea
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Diagnosis With Brief Discussion

Discussion
BOOP as primary cause of respiratory illness
Organization of prior infection (viral, bacterial)
Toxic inhalants (silo-filler’s lung)
Drug toxicity (gold, amiodarone, sulfasalazine,…)
Collagen vascular diseases (RA, lupus, polymyositis,…)
Bronchial obstruction (foreign material, tumors)
Unknown etiology (Idiopathic BOOP or COP)

Amiodarone pulmonary toxicity
5-10% of pts
Within months of starting therapy
No correlation between the development of drug toxicity and the duration of therapy or total accumulative dose
Daily maintenance dose >400 mg, elderly pts: increased risk
Good Px

Histologic finding
NSIP: TMC manifestation
BOOP: less common and typically occurs in association with NSIP

Radiologic finding
Peripheral located, high attenuated pulmonayr opacities
Characteristics of amiodarone toxicity: high-attenuation abnormalities within the lung, liver, and spleen
Keywords
Lung, Non-infectious inflammation, Drug complication,
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Each Case of This Site Supplied by the Members of KSTR.
Copyright of the Images is in the KSTR and Original Supplier.
Current Editor : Sung Shine Shim, MD, PhD. Email : sinisim@ewha.ac.kr

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