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Article in Japanese
Abstract
Case Report
A case of diffuse aspiration bronchiolitis because of an eating disorder
Masako Amanoa Rie Kawabea Ryo Okudaa Takashi Koidea Hidekazu Matsushimaa Chikabumi Kadoyamab
aDivision of Respiratory Medicine, Saitama Red Cross Hospital
bDivision of Thoracic Surgery, Saitama Red Cross Hospital
ABSTRACT
A 46-year-old woman had recurrent high fever. Chest computed tomography (CT) showed bilateral diffuse centrilobular nodules. She underwent video-assisted thoracoscopic lung biopsy. Histological findings showed foreign bodies in the alveolar spaces and parenchyma. Foreign-body granulomas were also found around the respiratory bronchioles. After investigation into more-detailed history on eating habits, the cause of diffuse aspiration bronchiolitis (DAB) was proved to be bulimia nervosa. Following treatment of mental illness, she had recognized her clinical situation practically for the first time. Since then she has never experienced a recurrence of DAB, and chest CT findings improved remarkably. Case reports on DAB resulting from eating disorders are rare, and this educational case is worth reporting.
KEYWORDS
Diffuse aspiration bronchiolitis Foreign-body granuloma Eating disorder Bulimia nervosa
Received 10 Feb 2014 ／ Accepted 27 May 2014
AJRS, 3(5): 704-707, 2014
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