エキスパートはこう考える第1回 回答

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<キーワード>

びまん性肺疾患、HRCT、volume loss, 容量減少、左右対称性陰影、bronchovascular bandle、気管支血管束、薬剤性肺障害、好酸球性肺炎、薬剤性好酸球性肺炎,traction bronchiectasis, 牽引性気管支拡張

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2005 年 3 月正常時の単純写真

呼吸困難時、 2005 年末の胸部単純写真

呼吸困難時の胸部 CT1

呼吸困難時の胸部 CT2

<参考文献>Souza CA, et al.
Drug-induced eosinophilic pneumonia: high-resolution CT findings in 14 patients.AJR. 2006 ;186:368-73.
http://www.ajronline.org/cgi/reprint/186/2/368Akira M, et al.
Drug-induced pneumonitis: thin-section CT finding in 60 patients. Radiology. 2002;224 :852-860
http://radiology.rsna.org/content/224/3/852.full.pdf+htmlEllis, SJ, et al.
Drug-induced lung disease: high-resolution CT findings. AJR. 2000;175 :1019-1024
http://www.ajronline.org/cgi/reprint/175/4/1019Cleverley JR, et al.
Drug-induced lung disease: high-resolution CT and histological findings.Clin Radiol. 2002;57:292-9.
Johkoh T, et al.
Eosinophilic lung diseases: diagnostic accuracy of thin-section CT in 111 patients.Radiology. 2000;216 :773-80.
http://radiology.rsna.org/content/216/3/773.full.pdf+html*パナルジンが原因の間質性肺炎の症例報告論文
Oon PC, et al.
Diffuse alveolar damage associated with ticlopidine use: a case report.J Formos Med Assoc. 2003;102 :262-5.Nakamura R, et al.
Interstitial pneumonia induced by ticlopidine.Circ J. 2002;66 :773-776.
http://www.jstage.jst.go.jp/article/circj/66/8/773/_pdfWatanebe M, et al.
Multiple pulmonary nodules due to ticlopidine-induced pneumonitis Nihon Kokyuki Gakkai Zasshi. 1999;37 :841-5Alonso-Martinez JL, et al.
Bronchiolitis obliterans-organizing pneumonia caused by ticlopidine.Ann Intern Med. 1998;129 :71-2
http://www.annals.org/content/129/1/71.3.full.pdf+html

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