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Bronchial involvement in chronic eosinophilic pneumonia: a case report
Na Hee Kim1, Kyung Hee Lee1, Jun Ho Kim1
11 Department of Radiology, Inha University Hospital; 2 Department of Internal Medicine, Inha University School of Medicine, Inhang-ro 27, Jung-gu, Incheon, Korea ; 3 Department of Pathology, University School of Medicine, Inhang-ro 27, Jung-gu, Incheon, Korea.
Journal of Thoracic Disease
|May 15, 2015
Summary
Chronic eosinophilic pneumonia (CEP) typically affects lung alveoli. This case study highlights a rare instance of bronchial involvement in CEP, expanding understanding of the condition's presentation.
Area of Science:
- Pulmonology
- Radiology
- Pathology
Background:
- Chronic eosinophilic pneumonia (CEP) is a rare idiopathic interstitial pneumonia.
- Characterized by eosinophilic infiltration of lung alveoli.
- Typically presents with peripheral, patchy consolidations on CT, predominantly in upper lobes.
Purpose of the Study:
- To report an unusual case of bronchial involvement in Chronic Eosinophilic Pneumonia.
- To highlight the importance of considering airway pathology in CEP.
Main Methods:
- Case report.
- Review of clinical presentation, CT imaging, and histopathological findings.
- Discussion of diagnostic challenges and implications.
Main Results:
- The patient presented with symptoms consistent with CEP.
- CT imaging revealed characteristic alveolar consolidation.
- Uniquely, significant bronchial wall thickening and luminal narrowing were observed, indicating airway involvement.
- Histopathology confirmed eosinophilic infiltration extending into bronchial tissues.
Conclusions:
- Airway involvement, though rare, can occur in Chronic Eosinophilic Pneumonia.
- This case broadens the spectrum of CEP manifestations.
- Radiologists and clinicians should consider bronchial pathology in the differential diagnosis of CEP.
