Yonsei Med J.  2007 Oct;48(5):865-867. 10.3349/ymj.2007.48.5.865.

A Good Outcome for a Case of Chronic Pneumonitis of Infancy

Affiliations
  • 1Department of Pediatrics and Institute of Allergy, Brain Korea 21 Project for Medical Science, Biomolecule Secretion Research, Yonsei University College of Medicine, Seoul, Korea. mhsohn@yuhs.ac

Abstract

Chronic pneumonitis of infancy (CPI) is a very rare interstitial lung disease. Its pathological features differ from other types of interstitial pneumonia that occur in adults and children. The mortality rate of CPI is high, even with treatment. We report a case of a 3 month old girl diagnosed with CPI after an open lung biopsy who improved after proper treatment.

Keyword

Infants; interstitial lung disease; chronic pneumonitis of infancy

MeSH Terms

Biopsy
Female
Humans
Infant
Lung Diseases, Interstitial/*diagnosis/drug therapy/pathology
Pneumonia/*diagnosis/drug therapy/pathology
Tomography, X-Ray Computed

Figure

  • Fig. 1 CT scan showing emphysematous changes in the right middle lobe. Ground glass opacities with some mosaic perfusion patterns are seen in both upper lobes (A) and lower lobes (B). Interlobular septal thickenings are also observed.

  • Fig. 2 (A) Diffuse interstitial lymphocytic infiltration and intraalveolar macrophage accumulation in lung tissue at low-magnification. (B) Diffuse interstitial lymphocytic infiltration and intraalveolar macrophage accumulation, type II pneumocyte hyperplasia observed at high magnification.


Reference

1. Katzenstein AL, Gordon LP, Oliphant M, Swender PT. Chronic pneumonitis of infancy. A unique form of interstitial lung disease occurring in early childhood. Am J Surg Pathol. 1995. 19:439–447.
2. Nicholson AG, Kim H, Corrin B, Bush A, du Bois RM, Rosenthal M, et al. The value of classifying interstitial pneumonitis in childhood according to defined histological patterns. Histopathology. 1998. 33:203–211.
Article
3. Kavantzas N, Theocharis S, Agapitos E, Davaris P. Chronic pneumonitis of infancy. An autopsy study of 12 cases. Clin Exp Pathol. 1999. 47:96–100.
4. Abe K, Kamata N, Okazaki E, Moriyama S, Funata N, Takita J, et al. Chronic pneumonitis of infancy. Eur Radiol. 2002. 12:S155–S157.
Article
5. Olsen E ØE, Sebire NJ, Jaffe A, Owens CM. Chronic pneumonitis of infancy: high-resolution CT findings. Pediatr Radiol. 2004. 34:86–88.
Article
6. Fan LL, Deterding RR, Langston C. Pediatric interstitial lung disease revisited. Pediatr Pulmonol. 2004. 38:369–378.
Article
7. Fisher M, Roggli V, Merten D, Mulvihill D, Spock A. Coexisting endogenous lipoid pneumonia, cholesterol granulomas, and pulmonary alveolar proteinosis in a pediatric population: a clinical, radiographic, and pathologic correlation. Pediatr Pathol. 1992. 12:365–383.
Article
Full Text Links
  • YMJ
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr