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Bronchiolitis obliterans organizing pneumonia in Korea
Author(s) -
HAN Sung Koo,
YIM JaeJoon,
LEE Jae Ho,
YOO Chul Gyu,
CHUNG Hee Soon,
SHIM YoungSoo,
KIM Young Whan
Publication year - 1998
Publication title -
respirology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.857
H-Index - 85
eISSN - 1440-1843
pISSN - 1323-7799
DOI - 10.1111/j.1440-1843.1998.tb00119.x
Subject(s) - bronchiolitis obliterans organizing pneumonia , medicine , crackles , bronchiolitis obliterans , leukocytosis , connective tissue disease , connective tissue , lesion , pathology , lung , disease , surgery , autoimmune disease , lung transplantation
An analysis of the clinical features in 23 cases of bronchiolitis obliterans organizing pneumonia (BOOP) in Korea is presented. Six were men and 17 were female, with a male‐tofemale ratio of 1:2.4. Idiopathic BOOP was present in 18 of these patients, connective tissue disease‐associated BOOP in five and all of them were females. The most frequent symptoms were dyspnoea and coughing in both groups; and crackles were the most prominent physical findings. Leukocytosis was observed in seven of the idiopathic BOOP group and all in the connective tissue disease‐associated BOOP group. In most cases, FVC, FEV 1 , diffusing capacity and arterial O 2 pressure were reduced. In roentgenographic study, patchy air space consolidation was the major finding and subpleural predominance was observed in the majority of patients in both groups. Migration of lesions were identified in only two patients with idiopathic BOOP. Steroid treatment was effective in all of idiopathic BOOP. In contrast to previous reports, an analysis of the 23 Korean BOOP patients showed several interesting points. First, a female predominance was observed. Second, migration of lesion was rare. Third, it did not show any different prognosis in patients with reticular pattern on roentgenogram compared with patients with patchy air space consolidation on roentgenogram. Whether these differences were due to ethnic or environmental factors is to be determined.