The etiology of the diffuse infiltrative disease of the lung in Korea.

Kim, Joon Hee; Choi, Soo Jeon; Kim, Dong Soon; You, Jee Hong; Kang, Hong Mo; You, Se Hwa; Jo, Dong Il; Kim, J.W.; Han, S.K.; Kim, K.Y.; Kim, Y.S.; Park, C.S.; Kim, W.S.; Kim, W.D.; Jang, J.; Lee, W.Y.; Choi, B.H.; Hue, S.H.; Shin, D.H.; Lee, J.H.

doi:1991.38.1.1

Tuberc Respir Dis > Volume 38(1); 1991 > Article

Original Article

Tuberculosis and Respiratory Diseases 1991;38(1):1-7.
DOI: https://doi.org/10.4046/trd.1991.38.1.1 Published online March 1, 1991.

The etiology of the diffuse infiltrative disease of the lung in Korea.

Joon Hee Kim¹, Soo Jeon Choi¹, Dong Soon Kim¹, Jee Hong You², Hong Mo Kang², Se Hwa You³, Dong Il Jo⁴, J.W. Kim⁴, S.K. Han⁵, K.Y. Kim⁵, Y.S. Kim⁶, C.S. Park⁶, W.S. Kim⁷, W.D. Kim⁷, J. Jang⁸, W.Y. Lee⁸, B.H. Choi⁹, S.H. Hue⁹, D.H. Shin¹⁰, J.H. Lee¹⁰

¹Department of Internal Medicine, Inje University Medical College, Paik Hosþital, Seoul, Korea
²Department of Internal Medicine, Kyuηghee University Medical College, Seoul, Korea
³Department of Internal Medicine, Korea University Medical College, Seoul, Korea
⁴Department of Internal Medicine, National Medical Center, Seoul, Korea
⁵Department of Internal Medicine, Seoul National University College of Medicoine, Seoul, Korea
⁶Department of Internal Medicine, Soonchonhyang University Medical College, Seoul, Korea
⁷Department of Internal Medicine, Ulsan University Medical College, Seoul, Korea
⁸Department of Internal Medicine, Yonsei University Medical College, Seoul, Korea
⁹Department of Internal Medicine, Jungang University Medical College, Seoul, Korea
¹⁰Department of Internal Medicine, Hanyang University Medical College, Seoul, Korea

Abstract

To study the frequency of the underlying disease of the diffuse pulmonary infiltrates in korea , we ansalyzed retrospectively 982 patients who were seen at nine university hospitals and one general hospital in Seoul area. The results are folloing: 1) Among the total 982 patients, 490 patients were male and 492 patients were female. The mean age was 44 .3 years. 2) The most common etiology was miliary tuberculosis (38%), which was followed by, idiopathic pulmonary fibrosis (27%), pulmonary fibrosis associated with collagen. vascular disease (15%), and diffuse pulmonary infiltrates by malignancy (10%). 3) Among the connective tissue disease which was accompanied by the interstitial lung disease, rheumatoid arthritis was the most common disease (43%), systemic lupus erythematosus was the 2nd (28%), and progressive systemic sclerosis was the 3re (16%). 4) Among 101 cases of malignant disease, lung was the most frequent primary site (31%), which was followed by stomach (28%), thyroid (16%), and breast (6%) 5) For the diagnosis of the underlying disease of pulmonary infiltrates, the transbronchial lung biopsy was performed in 21% of the patients and open lung biopsy was done in 7%.