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タイトル: | The long-term clinical course of chronic eosinophilic pneumonia |
著者: | Ishiguro, Takashi Takayanagi, Noboru Uozumi, Ryuji ![]() ![]() Tada, Mami Kagiyama, Naho Takaku, Yotaro Shimizu, Yoshihiko Sugita, Yutaka Morita, Satoshi ![]() ![]() |
著者名の別形: | 魚住, 龍史 森田, 智視 |
キーワード: | chronic eosinophilic pneumonia relapse smoking prognosis |
発行日: | 2016 |
出版者: | Japanese Society of Internal Medicine |
誌名: | Internal Medicine |
巻: | 55 |
号: | 17 |
開始ページ: | 2373 |
終了ページ: | 2377 |
抄録: | Objective The long-term clinical course and prognosis of patients with chronic eosinophilic pneumonia (CEP) including factors predictive of the relapse of CEP have not been fully investigated. The aim of the present study was to investigate these issues. Methods We retrospectively investigated the rate of relapse and prognosis in 73 patients diagnosed as having CEP. Results Systemic corticosteroid therapy was administered at a prednisolone dose of 29.4±7.6 mg/day. During a median follow-up period of 1, 939 days, 27 patients suffered from relapse of CEP. Two patients developed steroid-induced diabetes mellitus, and 1 patient developed pulmonary nontuberculous mycobacteriosis. Five patients died; however, none died of CEP. A history of smoking was the only independent negative risk factor for relapse of CEP [hazard ratio, 0.37 (0.14-0.98)]. Conclusion Patients with CEP frequently relapse. During the follow-up, metabolic and infectious complications under prolonged corticosteroid therapy are problematic. A history of smoking was a negative factor for predicting the risk of CEP relapse. |
著作権等: | © 2016 The Japanese Society of Internal Medicine. The Internal Medicine is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/). |
URI: | http://hdl.handle.net/2433/218941 |
DOI(出版社版): | 10.2169/internalmedicine.55.6765 |
PubMed ID: | 27580536 |
出現コレクション: | 学術雑誌掲載論文等 |
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