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Korean J Crit Care Med > Volume 25(1); 2010 > Article
Korean Journal of Critical Care Medicine 2010;25(1): 43-47. doi: https://doi.org/10.4266/kjccm.2010.25.1.43
심한 산소화부전으로 발현된 말초 T 세포 림프종 1예 -증례 보고-
최준석*ㆍ신홍준*ㆍ김은영*ㆍ오인재*ㆍ김규식*ㆍ김유일*ㆍ임성철*ㆍ김영철*ㆍ최유덕†ㆍ선현주‡ㆍ권용수*
전남대학교 의과대학 *내과학교실, †병리학교실, ‡영상의학교실
A Case of Peripheral T Cell Lymphoma Presenting as Severe Hypoxic Respiratory Failure: A Case Report
Joon Seok Choi, Hong Joon Shin, Eun Young Kim, In Jae Oh, Kyu Sik Kim, Yu Il Kim, Sung Chul Lim, Young Chul Kim, Yoo Duk Choi, Hyun Ju Seon, Yong Soo Kwon
1Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea. yongsu3@gmail.com
2Department of Pathology, Chonnam National University Medical School, Gwangju, Korea.
3Department of Radiology, Chonnam National University Medical School, Gwangju, Korea.
ABSTRACT
We describe here the first known case in Korea of pulmonary involvement with peripheral T cell lymphoma and the patient presented with severe hypoxic respiratory failure. A 57-yr-old man was admitted to our hospital with rapid progression of dyspnea and bilateral diffuse infiltration on a chest radiograph. He received mechanical ventilation and low dose corticosteroid treatment under the suspicion of critical illness-related corticosteroid insufficiency. Transbronchial lung biopsy revealed large atypical lymphoid cells with positivity for CD3+. We diagnosed this patient as having a peripheral T cell lymphoma and we treated him with high dose corticosteroid. His clinical and radiologic findings rapidly improved and then he received a full dose of chemotherapy for the peripheral T cell lymphoma.
Key Words: corticosteroid; lymphoma; respiratory failure
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