Korean J Med.
1999 Feb;56(2):215-219.
A Case of Respiratory Bronchiolitis-Associated Interstitial Lung Disease
- Affiliations
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- 1Department of Internal Medicine Inha University College of Medicine, Inchon, Korea.
Abstract
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Respiratory bronchiolitis-associated interstitial lung disease (RB-ILD) is an inflammatory lung
disorder associated with cigarette smoking. The clinical and radiographic findings of RB-ILD
are nonspecific and most patients with RB-ILD are thought to have some form of idiopathic
pulmonary fibrosis prior to lung biopsy. Open lung biopsy of patients with RB-ILD reveals
inflammation of the respiratory bronchioles, filling of the bronchiolar lumens and surrounding
alveoli with finely pigmented macrophages, associated interstitial inflammation. Alveolar septa,
particularly around terminal and membranous bronchioles, are mildly fibrotic. We recently
experienced a case of RB-ILD proven by open lung biopsy.