Complication of chronic eosinophilic pneumonia in an elderly patient with Sjögren syndrome

Koichi Waseda, Hideharu Hagiya, Yoshihisa Hanayama, Tomohiro Terasaka, Kosuke Kimura, Takao Tsuzuki, Kou Hasegawa, Takahiro Nada, Eri Nakamura, Kazutoshi Murakami, Eisei Kondo, Fumio Otsuka

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2 Citations (Scopus)

Abstract

An 81-year-old Japanese male with primary Sjögren syndrome (pSS) developed a low-grade fever and productive cough which were refractory to antibiotic therapy. Based on the high level of eosinophils observed in his bronchial alveolar lavage, he was diagnosed with chronic eosinophilic pneumonia (CEP) and successfully treated by oral prednisolone. Interstitial lung diseases associated with pSS (pSS-ILDs) usually present as nonspecific interstitial pneumonia or usual interstitial pneumonia; therefore, the present case is extremely unique in that the patient's condition was complicated with CEP. A diagnosis of advanced gallbladder cancer was made in the patient's clinical course, suggesting the advisability of a whole-body workup in cases of pSS, especially in elderly patients.

Original languageEnglish
Pages (from-to)123-127
Number of pages5
JournalActa medica Okayama
Volume69
Issue number2
Publication statusPublished - 2015

Keywords

  • Bronchial alveolar lavage
  • Eosinophilia
  • Eosinophilic pneumonia
  • Interstitial lung diseases
  • Sjögren syndrome

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)

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  • Cite this

    Waseda, K., Hagiya, H., Hanayama, Y., Terasaka, T., Kimura, K., Tsuzuki, T., Hasegawa, K., Nada, T., Nakamura, E., Murakami, K., Kondo, E., & Otsuka, F. (2015). Complication of chronic eosinophilic pneumonia in an elderly patient with Sjögren syndrome. Acta medica Okayama, 69(2), 123-127.