BIOMAT Database Logo BIOMAT Database Logo

[A case of broncho-bronchiolitis obliterans associated with rheumatoid arthritis and Sjögren's syndrome]. 1991

Y Nemoto, and Y Katayama, and K Sugiyama, and K Kudo, and T Matsuoka, and N Nagata, and O Takatani, and K Kikuchi, and S Aida
Third Department of Internal Medicine, National Defense Medical College, Saitama, Japan.

A 45-year-old female patient with rheumatoid arthritis and Sjögren's syndrome was admitted because of progressive exertional dyspnea and palpitation. The chest X-ray film was normal except for slight overinflation. Pulmonary function tests indicated severe mixed-type impairment, and arterial blood gas analysis revealed hypoxemia. 99mTc-MAA lung perfusion scintigraphy and 81mKr lung ventilation scintigraphy showed multiple nonsegmental defects in both lungs. During six months of observation, the perfusion defect increased in size and intensity, although the chest radiography remained unchanged. The diagnosis of bronchobronchiolitis obliterans (BBO) was confirmed by open lung biopsy. Glucocorticoid therapy was ineffective, and she died of respiratory failure a month after discharge. It is noteworthy that perfusion scintigram demonstrated the progression of the disease much better than chest radiography, which showed no apparent change during the observation period.

UI MeSH Term Description Entries
D008168 Lung Either of the pair of organs occupying the cavity of the thorax that effect the aeration of the blood. Lungs
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011877 Radionuclide Imaging The production of an image obtained by cameras that detect the radioactive emissions of an injected radionuclide as it has distributed differentially throughout tissues in the body. The image obtained from a moving detector is called a scan, while the image obtained from a stationary camera device is called a scintiphotograph. Gamma Camera Imaging,Radioisotope Scanning,Scanning, Radioisotope,Scintigraphy,Scintiphotography,Imaging, Gamma Camera,Imaging, Radionuclide
D001989 Bronchiolitis Obliterans Inflammation of the BRONCHIOLES leading to an obstructive lung disease. Bronchioles are characterized by fibrous granulation tissue with bronchial exudates in the lumens. Clinical features include a nonproductive cough and DYSPNEA. Bronchiolitis, Exudative,Bronchiolitis, Proliferative,Constrictive Bronchiolitis,Exudative Bronchiolitis,Proliferative Bronchiolitis,Bronchiolitides, Constrictive,Bronchiolitides, Exudative,Bronchiolitides, Proliferative,Bronchiolitis, Constrictive,Constrictive Bronchiolitides,Exudative Bronchiolitides,Proliferative Bronchiolitides
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001172 Arthritis, Rheumatoid A chronic systemic disease, primarily of the joints, marked by inflammatory changes in the synovial membranes and articular structures, widespread fibrinoid degeneration of the collagen fibers in mesenchymal tissues, and by atrophy and rarefaction of bony structures. Etiology is unknown, but autoimmune mechanisms have been implicated. Rheumatoid Arthritis
D012859 Sjogren's Syndrome Chronic inflammatory and autoimmune disease in which the salivary and lacrimal glands undergo progressive destruction by lymphocytes and plasma cells resulting in decreased production of saliva and tears. The primary form, often called sicca syndrome, involves both KERATOCONJUNCTIVITIS SICCA and XEROSTOMIA. The secondary form includes, in addition, the presence of a connective tissue disease, usually rheumatoid arthritis. Sicca Syndrome,Sjogren Syndrome,Sjogrens Syndrome,Syndrome, Sicca,Syndrome, Sjogren's
D013668 Technetium Tc 99m Aggregated Albumin A gamma-emitting radionuclide imaging agent used for the diagnosis of diseases in many tissues, particularly in cardiovascular and cerebral circulation. Tc 99m-Albumin,Tc 99m-Albumin Colloid,99m-Tc-HSA,99mTc-Albures,99mTc-HSA,99mTc-Human Serum Albumin,Tc-99m-HAM,Tc-99m-MAA,Tc-99m-Microalbumin,Tc-HAMM,Tc99m-Albumin,Technetium-99m Albumin Colloid,99mTc Albures,99mTc Human Serum Albumin,99mTcAlbures,Albumin Colloid, Technetium-99m,Albumin, 99mTc-Human Serum,Colloid, Tc 99m-Albumin,Colloid, Technetium-99m Albumin,Serum Albumin, 99mTc-Human,Tc 99m Albumin,Tc 99m Albumin Colloid,Tc 99m HAM,Tc 99m MAA,Tc 99m Microalbumin,Tc HAMM,Tc99m Albumin,Technetium 99m Albumin Colloid

Related Publications

Y Nemoto, and Y Katayama, and K Sugiyama, and K Kudo, and T Matsuoka, and N Nagata, and O Takatani, and K Kikuchi, and S Aida
Rheumatoid arthritis associated with bronchiolitis obliterans and immunoblastic sarcoma.
March 1982, Clinical rheumatology,
Y Nemoto, and Y Katayama, and K Sugiyama, and K Kudo, and T Matsuoka, and N Nagata, and O Takatani, and K Kikuchi, and S Aida
Polymyositis and Sjögren's syndrome associated with bronchiolitis obliterans organizing pneumonia.
March 1996, Internal medicine (Tokyo, Japan),
Y Nemoto, and Y Katayama, and K Sugiyama, and K Kudo, and T Matsuoka, and N Nagata, and O Takatani, and K Kikuchi, and S Aida
[A case of rheumatoid arthritis associated with pernicious anemia and bronchiolitis obliterans organizing pneumonia].
December 1995, Ryumachi. [Rheumatism],
Y Nemoto, and Y Katayama, and K Sugiyama, and K Kudo, and T Matsuoka, and N Nagata, and O Takatani, and K Kikuchi, and S Aida
[A case of myasthenia associated with rheumatoid arthritis and Sjögren's syndrome].
August 1982, Ryumachi. [Rheumatism],
Y Nemoto, and Y Katayama, and K Sugiyama, and K Kudo, and T Matsuoka, and N Nagata, and O Takatani, and K Kikuchi, and S Aida
[A case of follicular bronchiolitis with broncho-pleural fistula in rheumatoid arthritis].
September 1991, Nihon Kyobu Shikkan Gakkai zasshi,
Y Nemoto, and Y Katayama, and K Sugiyama, and K Kudo, and T Matsuoka, and N Nagata, and O Takatani, and K Kikuchi, and S Aida
[Rheumatoid arthritis treated with penicillamine and bronchiolitis obliterans].
February 1988, Revista medica de Chile,
Y Nemoto, and Y Katayama, and K Sugiyama, and K Kudo, and T Matsuoka, and N Nagata, and O Takatani, and K Kikuchi, and S Aida
Bronchiolitis obliterans organizing pneumonia and Sjögren's syndrome.
May 1990, The Journal of rheumatology,
Y Nemoto, and Y Katayama, and K Sugiyama, and K Kudo, and T Matsuoka, and N Nagata, and O Takatani, and K Kikuchi, and S Aida
Bronchiolitis obliterans in a case of juvenile rheumatoid arthritis presented with pneumomediastinum.
January 2002, Respiration; international review of thoracic diseases,
Y Nemoto, and Y Katayama, and K Sugiyama, and K Kudo, and T Matsuoka, and N Nagata, and O Takatani, and K Kikuchi, and S Aida
[Minocycline for the treatment of bronchiolitis obliterans associated with rheumatoid arthritis].
August 2001, Ryumachi. [Rheumatism],
Y Nemoto, and Y Katayama, and K Sugiyama, and K Kudo, and T Matsuoka, and N Nagata, and O Takatani, and K Kikuchi, and S Aida
[A case of bronchiolitis obliterans organizing pneumonia in a patient with rheumatoid arthritis].
September 1987, Nihon Kyobu Shikkan Gakkai zasshi,
Copied contents to your clipboard!