Torii A, Ono Y, Obayashi S, Kitahara A, Oshinden K, Horio Y, Niimi K, Hayama N, Oguma T, Hatanaka K, Asano K, Ito Y. Cryptogenic Fibrosing Pleuritis with Rapidly Progressive Restrictive Ventilatory Dysfunction.
Intern Med 2022;
61:2649-2653. [PMID:
35135921 PMCID:
PMC9492483 DOI:
10.2169/internalmedicine.8758-21]
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Abstract
Cryptogenic bilateral fibrosing pleuritis is a rare condition, and its pathogenesis and clinical course are poorly understood, with no established therapy available. A 61-year-old man presented with bilateral pleural thickening and lymphocytic exudative effusions. The patient was diagnosed with fibrosing pleuritis with no evidence of a known etiology on a surgical pleural biopsy. Within 16 months from the onset of respiratory symptoms, restrictive ventilatory impairment progressed rapidly, resulting in hypercapnic respiratory failure requiring home oxygen and non-invasive positive pressure ventilation therapies.
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