A case of bronchiolitis obliterans organizing pneumonia on chronic hemodialysis

Yusuke Yoneda; Maki Takenaka; Kazuho Shimura; Masami Yoshizumi; Suguru Hatta; Toshiyuki Satou; Chiaki Nakagawa; Naoaki Akamatsu; Yoshinobu Nakagaki; Osamu Takada; Kei Maki; Katsunori Sawada; Ryosyun Hino

doi:10.4009/jsdt.29.135

Yusuke Yoneda, Maki Takenaka, Kazuho Shimura, Masami Yoshizumi, Suguru Hatta, Toshiyuki Satou, Chiaki Nakagawa, Naoaki Akamatsu, Yoshinobu Nakagaki, Osamu Takada, Kei Maki, Katsunori Sawada, Ryosyun Hino

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Keywords: bronchiolitis obliterans organizing pneumonia

JOURNAL FREE ACCESS

1996 Volume 29 Issue 2 Pages 135-139

DOI https://doi.org/10.4009/jsdt.29.135

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Abstract

This report details a case of interstitial pneumonia (bronchiolitis obliterans organizing pneumonia, BOOP). A 36-year-old male on hemodialysis was admitted complaining of dyspnea on exertion. Chest X-ray film showed infiltrative shadows in the right upper-middle and left upper lung fields. CT of the chest revealed an increase in density with air bronchograms. Bronchoalveolar lavage fluid findings revealed an increase in the total cell count, an increase in the percentage of lymphocytes and a decrease in the OKT4⁺/OKT8⁺ ratio. These findings suggested a diagnosis of BOOP. After treatment with corticosteroids, but not antibiotics, the abnormal opacities disappeared. If infiltrative shadows on the X-ray film do not improve with antibiotics in hemodialysis patients, should be considered as a potential cause.

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