대한흉부영상의학회 Korean Society of Thoracic Radiology

Discussion

Diagnosis With Brief Discussion

Chief Complaint

cough, dyspnea (onset : 1YA)

Definitive Diagnosis

Diffuse panbronchiolitis

Past History

chronic sinusitis

Reviewy

Predilection in East Asia (Korea, Japan, China…)
Age 20~50y & non-smoker
M : F = 1.6~2 : 1

CT findings (non-specific)
Centrilobular nodules with branching structures
Basal predominant
Mosaic attenuation
Diagnostic criteria
Persistent cough, sputum and exertional dyspnea
History of chronic sinusitis
Bilateral, diffuse centrilobular nodules on CT

Coarse crackles
FEV1/FVC < 70%, PaO2 < 80 mmHg
Titer of cold agglutinin ≥ 64

Keywords