Two Cases of Acute Exacerbation of Interstitial Pneumonia Treated with Polymyxin B-immobilized Fiber Column Hemoperfusion Treatment

The effect of polymixin B-immobilized fiber column (PMX) hemoperfusion treatment for acute exacerbation of interstitial pneumonia (IP) has been reported. Here, we report 2 cases of acute exacerbation of IP successfully treated with PMX hemoperfusion. One is a 55-year-old woman who was diagnosed as m...

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Veröffentlicht in:Internal Medicine 2007, Vol.46(17), pp.1447-1454
Hauptverfasser: Noma, Satoshi, Matsuyama, Wataru, Mitsuyama, Hideo, Suetsugu, Takayuki, Koreeda, Yoshimizu, Mizuno, Keiko, Higashimoto, Ikkou, Kakihana, Yasuyuki, Hashiguchi, Teruto, Maruyama, Ikuro, Osame, Mitsuhiro, Arimura, Kimiyoshi
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container_end_page 1454
container_issue 17
container_start_page 1447
container_title Internal Medicine
container_volume 46
creator Noma, Satoshi
Matsuyama, Wataru
Mitsuyama, Hideo
Suetsugu, Takayuki
Koreeda, Yoshimizu
Mizuno, Keiko
Higashimoto, Ikkou
Kakihana, Yasuyuki
Hashiguchi, Teruto
Maruyama, Ikuro
Osame, Mitsuhiro
Arimura, Kimiyoshi
description The effect of polymixin B-immobilized fiber column (PMX) hemoperfusion treatment for acute exacerbation of interstitial pneumonia (IP) has been reported. Here, we report 2 cases of acute exacerbation of IP successfully treated with PMX hemoperfusion. One is a 55-year-old woman who was diagnosed as microscopic polyangiitis (MPA) with IP. The other is a 58-year-old man, diagnosed as having idiopathic pulmonary fibrosis. Both cases were treated with PMX hemoperfusion and other therapies. One died on day 44 and the other is still alive. The PMX hemoperfusion treatment decreased the serum levels of several cytokines and activated neutrophil percentage in bronchoalveolar lavage fluid.
doi_str_mv 10.2169/internalmedicine.46.0117
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source MEDLINE; J-STAGE (Japan Science & Technology Information Aggregator, Electronic) Freely Available Titles - Japanese
subjects Anti-Bacterial Agents - therapeutic use
Bronchoalveolar Lavage Fluid
bronchoalveolar lavage fluid cells
CD18+/CD11c
Fatal Outcome
Female
Hemoperfusion - methods
high mobility group box-1 (HMGB-1)
Humans
Lung Diseases, Interstitial - complications
Lung Diseases, Interstitial - therapy
Male
Middle Aged
Polymyxin B - therapeutic use
Respiratory Insufficiency - etiology
Respiratory Insufficiency - therapy
Treatment Outcome
title Two Cases of Acute Exacerbation of Interstitial Pneumonia Treated with Polymyxin B-immobilized Fiber Column Hemoperfusion Treatment
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