The Clinical Characteristics and Outcomes of Follicular Bronchiolitis in Chinese Adult Patients

Abstract Follicular bronchiolitis (FB) is a rare interstitial lung disease (ILD) and has been reported in diverse clinical contexts. Six FB patients demonstrated by surgical lung biopsy (SLB) were reviewed between 2009 and 2017 from Nanjing Drum Tower Hospital in China. The average age of subjects w...

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Autores principales: Ju Lu, Miao Ma, Qi Zhao, Fanqing Meng, Dongmei Wang, Hourong Cai, Mengshu Cao
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Lenguaje:EN
Publicado: Nature Portfolio 2018
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Acceso en línea:https://doaj.org/article/6ec5de6aee62485c9bb38a6774fb66af
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spelling oai:doaj.org-article:6ec5de6aee62485c9bb38a6774fb66af2021-12-02T11:40:16ZThe Clinical Characteristics and Outcomes of Follicular Bronchiolitis in Chinese Adult Patients10.1038/s41598-018-25670-82045-2322https://doaj.org/article/6ec5de6aee62485c9bb38a6774fb66af2018-05-01T00:00:00Zhttps://doi.org/10.1038/s41598-018-25670-8https://doaj.org/toc/2045-2322Abstract Follicular bronchiolitis (FB) is a rare interstitial lung disease (ILD) and has been reported in diverse clinical contexts. Six FB patients demonstrated by surgical lung biopsy (SLB) were reviewed between 2009 and 2017 from Nanjing Drum Tower Hospital in China. The average age of subjects was 42 years old (range: 31–55 years). The clinical symptoms were very mild. The laboratory findings showed elevated Erythrocyte sedimentation rate (ESR) and serum globulin and anemia. Pulmonary function tests were normal in four cases. Five cases had underlying diseases, such as, Sjo¨gren’s syndrome, multi-centric castlemans’ disease, idiopathic pneumonia with autoimmune features and abscess. Five cases presented as interstitial lung disease (ILD) on chest imaging with centrilobular or peribronchiolar nodules, ground glass opacities, interlobular septal thickening, cysts and bronchiectasis. Isolated mass was in one patient. The histopathology suggested the changes of FB in all subjects. Prednisone and/or cyclophosphamide were used in four cases, one did the surgery and the other was clinically monitored. All cases were alive at the end of follow up. The adult patients of FB usually have mild symptoms, ILD and underlying diseases. The definite diagnosis needs SLB. The prognosis is depended on their underlying conditions.Ju LuMiao MaQi ZhaoFanqing MengDongmei WangHourong CaiMengshu CaoNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 8, Iss 1, Pp 1-10 (2018)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Ju Lu
Miao Ma
Qi Zhao
Fanqing Meng
Dongmei Wang
Hourong Cai
Mengshu Cao
The Clinical Characteristics and Outcomes of Follicular Bronchiolitis in Chinese Adult Patients
description Abstract Follicular bronchiolitis (FB) is a rare interstitial lung disease (ILD) and has been reported in diverse clinical contexts. Six FB patients demonstrated by surgical lung biopsy (SLB) were reviewed between 2009 and 2017 from Nanjing Drum Tower Hospital in China. The average age of subjects was 42 years old (range: 31–55 years). The clinical symptoms were very mild. The laboratory findings showed elevated Erythrocyte sedimentation rate (ESR) and serum globulin and anemia. Pulmonary function tests were normal in four cases. Five cases had underlying diseases, such as, Sjo¨gren’s syndrome, multi-centric castlemans’ disease, idiopathic pneumonia with autoimmune features and abscess. Five cases presented as interstitial lung disease (ILD) on chest imaging with centrilobular or peribronchiolar nodules, ground glass opacities, interlobular septal thickening, cysts and bronchiectasis. Isolated mass was in one patient. The histopathology suggested the changes of FB in all subjects. Prednisone and/or cyclophosphamide were used in four cases, one did the surgery and the other was clinically monitored. All cases were alive at the end of follow up. The adult patients of FB usually have mild symptoms, ILD and underlying diseases. The definite diagnosis needs SLB. The prognosis is depended on their underlying conditions.
format article
author Ju Lu
Miao Ma
Qi Zhao
Fanqing Meng
Dongmei Wang
Hourong Cai
Mengshu Cao
author_facet Ju Lu
Miao Ma
Qi Zhao
Fanqing Meng
Dongmei Wang
Hourong Cai
Mengshu Cao
author_sort Ju Lu
title The Clinical Characteristics and Outcomes of Follicular Bronchiolitis in Chinese Adult Patients
title_short The Clinical Characteristics and Outcomes of Follicular Bronchiolitis in Chinese Adult Patients
title_full The Clinical Characteristics and Outcomes of Follicular Bronchiolitis in Chinese Adult Patients
title_fullStr The Clinical Characteristics and Outcomes of Follicular Bronchiolitis in Chinese Adult Patients
title_full_unstemmed The Clinical Characteristics and Outcomes of Follicular Bronchiolitis in Chinese Adult Patients
title_sort clinical characteristics and outcomes of follicular bronchiolitis in chinese adult patients
publisher Nature Portfolio
publishDate 2018
url https://doaj.org/article/6ec5de6aee62485c9bb38a6774fb66af
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