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Article in Japanese
Abstract
Case Report
A case of Sjögren's syndrome complicated by drug-induced pneumonia resulting from a supplementary food containing reishi
Sachiyo Kosai Hiroshi Takahashi Hiroko Okabayashi Riichiro Maruyama Izumi Honda Mineharu Sugimoto
Department of Respiratory Medicine, Omuta Tenryou Hospital
ABSTRACT
The patient was a 71-year-old woman who had suffered Sjögren's syndrome. Five months ago, after a diagnosis of pneumonia, she was prohibited from taking all supplementary foods. She complained of cough and fever after readministration of a supplementary food containing reishi (Ganoderma lucidum). Chest CT showed diffuse ground-glass opacities in both lung fields. Lymphocytes were increased in bronchoalveolar lavage fluid. A transbronchial lung biopsy specimen showed pulmonary alveolitis. Therefore we diagnosed drug-induced pneumonia, not ruling out underlying collagen vascular disease associated, interstitial pneumonia (CVD-IP). In patients with connective tissue diseases, it is important to interview and consider a differential diagnosis that includes the possibility of drug-induced pneumonia.
KEYWORDS
Drug-induced pneumonia Supplementary food Ganoderma lucidum (reishi) Sjögren's syndrome
Received 16 Jan 2015 ／ Accepted 15 May 2015
AJRS, 4(5): 385-388, 2015
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