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Acute interstitial pneumonia (hamman-rich syndrome) as a cause of idiopathic acute respiratory distress syndrome.
MedLine Citation:
PMID:  21687544     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Hamman-Rich syndrome, also known as acute interstitial pneumonia, is a rare and fulminant form of idiopathic interstitial lung disease. It should be considered as a cause of idiopathic acute respiratory distress syndrome. Confirmatory diagnosis requires demonstration of diffuse alveolar damage on lung histopathology. The main treatment is supportive care. It is not clear if glucocorticoid therapy is effective in acute interstitial pneumonia. We report the case of a 77-year-old woman without pre-existing lung disease who initially presented with mild upper respiratory tract infection and then progressed to rapid onset of hypoxic respiratory failure similar to acute respiratory distress syndrome with unknown etiology. Despite glucocorticoid therapy, she did not achieve remission and expired after 35 days of hospitalization. The diagnosis of acute interstitial pneumonia was supported by the histopathologic findings on her lung biopsy.
Authors:
Jackrapong Bruminhent; Shahla Yassir; James Pippim
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Publication Detail:
Type:  Journal Article     Date:  2011-05-29
Journal Detail:
Title:  Case reports in medicine     Volume:  2011     ISSN:  1687-9635     ISO Abbreviation:  Case Report Med     Publication Date:  2011  
Date Detail:
Created Date:  2011-06-20     Completed Date:  2011-07-14     Revised Date:  2011-08-01    
Medline Journal Info:
Nlm Unique ID:  101512910     Medline TA:  Case Report Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  628743     Citation Subset:  -    
Affiliation:
Department of Internal Medicine, St. Vincent's Medical Center, 2800 Main Street, Bridgeport, CT 06606, USA.
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