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S-330 A case of diffuse panbronchilitis following bronchiectasis
( Jeehyuk Kim ),( Seung Yong Park ),( Yeong Hun Choe ),( So Ri Kim ),( Yong Chul Lee ),( Heung Bum Lee ),( Seoung Ju Park ) 대한내과학회 2016 대한내과학회 추계학술대회 Vol.2016 No.1
Diffuse panbronchiolitis (DPB)?is characterized by bronchiolitis involved in all layers of the respiratory bronchioles, which show bronchiolectasis in high resolution computed tomography (HRCT). DPB commonly develops in the 2nd-5th decade of life and are slowly progressive over months to years.?A 48-year-old man?was admitted because of cough, sputum, and dyspnea for 1 month. He was treated for bronchiectasis, chronic obstructive pulmonary disease, and chronic sinusitis for 1 year inour hospital. Physical examination revealed the inspiratory crackles in both lower lung fields. The chest radiography showed bronchiectasis on the left lower lung and bilateral, diffuse, small nodular shadows which were newly detected findings as compared with those 6 months ago. HRCT revealed diffuse ill-defined nodules up to 3 mm in diameter and nodular and linear opacities in both lobes and cystic bronchiectasis in the right middle lobe, left upper lobe, and left lower lobe. We diagnosed DPB developed in the patient with bronchiectasis and treated with clarithromycin.?Untreated?bronchiolectasis in DPB can be advanced to induce airway scarring leadsing to bronchiectasis, Although the causal relationship between DPB and bronchiectasis in our case, we hear report an interesting case of DPB developed in the patient with bronchiectasis.