Acta clinica Croatica, Vol. 61. No. 4, 2022.
Recenzija, prikaz
https://doi.org/10.20471/acc.2022.61.04.21
Successfully Treated Acute Interstitial Pneumonia
Marija Gomerčić Palčić
; Sestre milosrdnice University Hospital Center, Zagreb; Croatia; University of Zagreb, School of Medicine, Zagreb, Croatia
Ivan Turalija
; Sestre milosrdnice University Hospital Center, Zagreb; Croatia
Luka Vrbanić
; Sestre milosrdnice University Hospital Center, Zagreb; Croatia
Ivana Folnožić
; Sestre milosrdnice University Hospital Center, Zagreb; Croatia
Eugenija Basioli Kasap
; Zadar General Hospital, Zadar, Croatia
Monika Ulamec
; Sestre milosrdnice University Hospital Center, Zagreb; Croatia; University of Zagreb, School of Medicine, Zagreb, Croatia
Sažetak
Acute interstitial pneumonia (AIP) is a rare idiopathic interstitial pneumonia with
histology finding of diffuse alveolar damage (DAD). It is characterized by progressive hypoxic respiratory
failure, high mortality rate, and absence of guidelines for its treatment. Here we present a case of
a 64-year-old woman with progressive dyspnea, acute respiratory failure, diffuse bilateral reticulonodular
opacities on standard chest radiograph, diffuse ground-glass opacities on computed tomography,
and biopsy proven DAD. Diagnosis of AIP was established after extensive work-up that excluded the
known risk factors for acute respiratory distress syndrome. Oxygen therapy and high-dose parenteral
corticosteroids led to gradual improvement and resulted in complete respiratory recovery. Since there
are no existing guidelines for treating AIP, more case reports and case series if not randomized control
trials are warranted in order to define the most effective therapeutic modality.
Ključne riječi
Acute interstitial pneumonia; Corticosteroid therapy; Acute respiratory distress syndrome; High-flow nasal cannula
Hrčak ID:
302078
URI
Datum izdavanja:
1.12.2022.
Posjeta: 746 *