Annals of The Japanese Respiratory Society:A case of pulmonary lesions complicated by longstanding Crohn's disease

Abstract

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Article in Japanese

A case of pulmonary lesions complicated by longstanding Crohn's disease

Emiri Tsumiyama^a,c Hidekazu Matsushima^a Keiichi Akasaka^a Masako Amano^a Tamiko Takemura^b Kazuyoshi Kuwano^c

^aSaitama Red Cross Hospital, Japanese Red Cross Society
^bJapanese Red Cross Medical Center
^cJikei University Hospital

ABSTRACT

A 52-year-old woman was diagnosed as having Crohn's disease in 20XX and underwent repeated remissions and exacerbations. A right lower lobectomy was performed in 20XX+4 and a left upper lobectomy in 20XX+13 for lung adenocarcinoma. Although her computed tomography image did not show abnormal findings, the surgical specimen revealed epithelioid cell granuloma in the bronchioles and alveoli. We diagnosed an extraintestinal manifestation of Crohn's disease. Reports of pulmonary lesions in a patient with Crohn's disease are rare. We report a rare case of subclinical epithelioid cell granuloma with Crohn's disease.

KEYWORDS

Crohn's disease Granuloma Extraintestinal manifestation Pulmonary lesions

Received 18 Sep 2018 ／ Accepted 25 Dec 2018

AJRS, 8(2): 147-150, 2019

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