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Laparoscopic Endoscopic Surgical Science Enfekte Kistik Bronektaziye Sekonder Gelien BOOP (Broniolitis Obliterans Organize Pnmoni) ve Renal Amiloidoz [Respir Case Rep]
Respir Case Rep. 2013; 2(1): 14-19 | DOI: 10.5505/respircase.2013.19480

Enfekte Kistik Bronektaziye Sekonder Gelien BOOP (Broniolitis Obliterans Organize Pnmoni) ve Renal Amiloidoz

Dilay imen, Mehmet Ekici, Emel Bulcun, Aydanur Ekici
1. Krkkale niversitesi, Tp Fakltesi, Gs Hastalklar Blm, Krkkale, Trkiye

Amiloidoz, amiloid olarak adlandrlan zel bir proteinin vcuttaki deiik dokularda anormal biimde depolanmas sonucunda ortaya kan bir grup hastalktr. Organize pnmoni, akcier hastalklar iinde ender grlen ama olduka karakteristik kliniko-patolojik zellikleri olan bir tablodur. Olgumuz nefes darl, ksrk, balgam, yan ars yaknmas ile hastanemize bavurdu. Postero-anterior akcier grafisinde sol parakardiak snrda heterojenite, sol sins kapal olarak izlendi. Yksek znrlkl bilgi-sayarl tomografide sol akcier st lob apikoposterior segmentte ve sol akcier alt lobda yaygn buzlu cam dansitesi zemininde retiklonodler deiiklikler, yer yer konsolide alanlar, bronektazik deiiklikler ve hacim kayb saptand. Olgunun proteinrisi olmas zerine renal amiloidoz asndan bbrek biyopsisi yapld. Patoloji sonucu renal amiloidozis ile uyumlu geldi. Fiberoptik bronkoskopide sol alt lob mukozasnda beyaz plak alanndan biyopsi yapld. Biopsi rnei organize pnmoni (interstisyel pnmoni ve interstisyel fibrozis) bulgular ile uyumlu geldi. Bu yazda, kistik bronektaziye bal gelien renal tutulumu olan sekonder amiloidoz ve broniolitis obliterans organize pnmoni olgusu sunulmutur.

Anahtar Kelimeler: Kistik Broniektazi, Sekonder Amiloidozis, Broniolitis Obliterans Organize Pnmoni.

BOOP (Bronchiolitis Obliterans Organizing Pneumonia) and Renal Amyloidosis Secon-dary to Infected Cystic Bronchiectasis

Dilay imen, Mehmet Ekici, Emel Bulcun, Aydanur Ekici
1. Kirikkale University, Faculty Of Mdicine, Department Of Pulmonary Medicine, Kirikkale, Turkey

Amyloidosis is group of conditions occurring as a result of abnormal storage of a specific protein, amyloid, in various tissues in the body. Organizing pneumonia, a rarely seen within lung diseases, but rather possessing a characteristic clinicopathologic features is a table. A case applied to our hospital with shortness of breath, cough, sputum, and chest pain. Heterogeneity at the left paracardiac borderline, by closing the left sinus, was observed in the posteroanterior chest x-ray. Reticulonodular changes on the basis of extensive ground-glass density, locally consolidated areas, changes in bronchiectasis, and a loss of volume in the apical-posterior segment of the upper and lower lobes of the left lung were determined by High-resolution computed tomography. Because of proteinuria, renal biopsy was performed on the basis of renal amyloidosis. The pathologic examination was consistent with renal amyloidosis. A biopsy was carried out by fiberoptic bronchoscopy in the lower left lobe mucosa from the area of white plaque. The biopsy specimen was compatible with "organized pneumonia (interstitial pneumonia and interstitial fibrosis). Secondary amyloidosis and bronchiolitis obliterans organizing pneumonia with renal involvement, progressing due to infected cystic bronchiectasis, are presented in this study.

Keywords: Cystic Bronchiectasis, Secondary Amyloidosis, Bronchiolitis Obliterans Organizing Pneu-monia.

Dilay imen, Mehmet Ekici, Emel Bulcun, Aydanur Ekici. BOOP (Bronchiolitis Obliterans Organizing Pneumonia) and Renal Amyloidosis Secon-dary to Infected Cystic Bronchiectasis. Respir Case Rep. 2013; 2(1): 14-19

Sorumlu Yazar: Dilay imen, Trkiye
Makale Dili: Trke
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