| A Case Report of Localized Form of Follicular Bronchitis/Bronchiolitis with Fibrosis. |
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Myeong Seong Kim, Sung Chul Lim, Yun Hyeon Kim, Kook Joo Na, Kyung Soo Kim, Kun Young Kwon, Young Chul Kim, Kyung Ok Park |
1Department of Internal Medicine, Chonnam University Medical School, Korea.
2Department of Radiology, Chonnam University Medical School, Korea.
3Department of Chest Surgery, Chonnam University Medical School, Korea.
4Department of Anatomical Pathology, Kwangju Christian Hospital, Korea.
5Department of Anatomical Pathology, Kyemyung University Medical School Daeku, and Kwanju, Korea. |
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| Abstract |
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Follicular bronchitis/bronchiolitis is pathologically characterized by peribronchiolar lymphoid follicles, which is one of reactive pulmonary lymphoid disorders. It is associated with 1) the result of infections such as mycoplasma, chlamydia etc., 2) immunodeficiency syndromes, 3) connective tissue diseases such as rheumatoid arthritis and Sjogren's syndrome and 4) local or systemic hypersensitivity reaction. And it can be also developed without obvious causes and associated diseases(idiopathic). Radiologically it represents as bilateral interstitial patterns of pulmonary infiltrates. In this case, a 49 year-old woman was presented with intermittent cough and sputum. On chest X-ray and CT, 5 x 4 cm sized mass in right upper lobe and paratracheal lymphadenopathies were detected, by which lung malignancy was suspected. Bronchoscopy, transbronchial lung biopsy and transthoracic needle aspiration showed non-specific findings only. After right upper lobectomy, we could confirm a case of follicular bronchiolitis which presented as an unusual mass-like radiologic finding. |
| Key Words:
Follicular bronchitis bronchiolitis, Mass, Nodule |
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