Multidisciplinary team approach on a case of bilateral interstitial pneumonia

Yijun He, Yu Xia, Yongbin Hu, Hui Zhou, Hongjun Zhao, Qun Luo, Wanli Ma, Martin Kolb, Amornpun Wongkarnjana, Reoto Takei, Yoshinori Tanino, Jie Meng

Abstract

Hypersensitivity pneumonitis (HP) is an interstitial lung disease (ILD) caused by exposure to a wide variety of organic particles. In this article, we report a rare case of a 44-year-old male patient with cough and shortness of breath for more than 4 years and exacerbation for 1 month. The findings of lung computed tomography (CT) and pathology supported a diagnosis of chronic HP. The patient had a history of ulcerative colitis for 5 years, and used to take salazosulfapyridine more than 4 years since 2013. We organized domestic and foreign experts to discuss the diagnosis and treatment of this case. The final clinical diagnosis was chronic interstitial pneumonia [related to sulfasalazine or inflammatory bowel disease (IBD) itself], pulmonary infections. It is recommended to discontinuation of sulfasalazine and oral administration of glucocorticoids and required long-term follow-up.