TY - JOUR
T1 - Pheumatosis cystoides intestinalis after α-glucosidase inhibitor treatment in a patient with interstitial pneumonitis
AU - Hisamoto, Akiko
AU - Mizushima, Takaaki
AU - Sato, Ken
AU - Haruta, Yuro
AU - Tanimoto, Yasushi
AU - Tanimoto, Mitsune
AU - Matsuo, Keisuke
PY - 2006/2/15
Y1 - 2006/2/15
N2 - A 56-year-old woman was admitted to our hospital for treatment of non-specific interstitial pneumonitis (NSIP). The patient started prednisone treatment, but one month later treatment with voglibose, an α-glucosidase inhibitor (α-GI), was started because of prednisone-induced diabetes mellitus. One week later, a massive volume of free air below the diaphragm was detected by a chest X-ray examination. An abdominal CT examination demonstrated pneumatosis coli and the patient was diagnosed with pneumatosis cystoides intestinalis (PCI). Voglibose was discontinued and parenteral nutrition and oxygen inhalation were initiated. Radiographic findings of PCI disappeared within 7 days. We encountered a rare case of PCI, that was associated with α-GI treatment.
AB - A 56-year-old woman was admitted to our hospital for treatment of non-specific interstitial pneumonitis (NSIP). The patient started prednisone treatment, but one month later treatment with voglibose, an α-glucosidase inhibitor (α-GI), was started because of prednisone-induced diabetes mellitus. One week later, a massive volume of free air below the diaphragm was detected by a chest X-ray examination. An abdominal CT examination demonstrated pneumatosis coli and the patient was diagnosed with pneumatosis cystoides intestinalis (PCI). Voglibose was discontinued and parenteral nutrition and oxygen inhalation were initiated. Radiographic findings of PCI disappeared within 7 days. We encountered a rare case of PCI, that was associated with α-GI treatment.
KW - Non-specific interstitial pneumonitis
KW - Pneumatosis cystoids intestinalis
KW - α-glucosidase inhibitor
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U2 - 10.2169/internalmedicine.45.1330
DO - 10.2169/internalmedicine.45.1330
M3 - Article
C2 - 16484742
AN - SCOPUS:33344475523
VL - 45
SP - 73
EP - 76
JO - Internal Medicine
JF - Internal Medicine
SN - 0918-2918
IS - 2
ER -