Acute eosinophilic pneumonia caused by passive smoking

간접흡연 후 발생한 급성 호산구폐렴 1예

Yoo, Kyung-Don;Jang, Won;Hong, Jin-Hee;Lee, Hyuk-Pyo;Choi, Soo-Jeon;Choi, Sang-Bong
유경돈;장원;홍진희;이혁표;최수전;최상봉

  • Published : 20091000

Abstract

Acute eosinophilic pneumonia (AEP) is characterized by eosinophilic infiltration in the lungs, respiratory distress, a rapid therapeutic response to corticosteroids, and the absence of relapse. Some cases of AEP are caused by infections, drugs, and inhaled antigens. Cigarette smoking is considered a probable cause of AEP, as AEP has developed soon after starting to smoke in some patients and a challenge with cigarette smoking was positive in some patients. All reported patients with cigarette smoking‐induced AEP were active smokers, while no case of AEP caused by passive smoking has been reported. We present a case of AEP presumed to have been caused by passive cigarette smoking.

급성 호산구폐렴은 호산구의 폐 침윤에 의해 발생하는 질환이지만 원인과 기전은 아직 명확하지 않다. 직접적인 인과 관계가 밝혀져 있지 않지만 흡연도 급성 호산구폐렴의 한 원인으로 보고되고 있다. 직접흡연에 의해 발생한 급성 호산구폐렴에 대해 여러 보고가 있었으나 간접흡연자에게 발생한 예는 아직 없었다. 저자들은 병력 청취와 소변 코티닌 측정으로 확인 된 간접흡연에 의한 것으로 추정되는 급성 호산구폐렴 1예를 경험하였기에 보고하는 바이다.

Keywords

References

  1. Cordier JF, Cottin V. Eosinophilic lung diseases. In: Mason RJ, Murray JF, Nadel JA, eds. Textbook of respiratory medicine. 4th ed. p. 1679-1701, Philadelphia, Elsevier, 2005
  2. Shiota Y, Kawai T, Matsumoto H, Hiyama J, Tokuda Y, Marukawa M, Ono T, Mashiba H. Acute eosinophilic pneumonia following cigarette smoking. Intern Med 39:830-833, 2000 https://doi.org/10.2169/internalmedicine.39.830
  3. Shintani H, Fujimura M, Ishiura Y, Noto M. A case of cigarette smoking-induced acute eosinophilic pneumonia showing tolerance. Chest 117:277-279, 2000 https://doi.org/10.1378/chest.117.1.277
  4. Bok GH, Kim YK, Lee YM, Kim KU, Uh ST, Hwang JH, Kim DW. Cigarette smoking-induced acute eosinophilic pneumonia: a case report including a provocation test. J Korean Med Sci 23:134-137, 2008 https://doi.org/10.3346/jkms.2008.23.1.134
  5. Watanabe K, Fujimura M, Kasahara K, Yasui M, Myou S, Kita T, Watanabe A, Nakao S. Acute eosinophilic pneumonia following cigarette smoking: a case report including cigarette-smoking challenge test. Intern Med 41:1016-1020, 2002 https://doi.org/10.2169/internalmedicine.41.1016
  6. Pope-Harman AL, Davis WB, Allen ED, Christoforidis AJ, Allen JN. Acute eosinophilic pneumonia: a summary of 15 cases and review of the literature. Medicine 75:334-342, 1996 https://doi.org/10.1097/00005792-199611000-00004
  7. Allen JN, Pacht ER, Gadek JE, Davis WB. Acute eosinophilic pneumonia as a reversible cause of non-infectious respiratory failure. N Engl J Med 321:569-574, 1989 https://doi.org/10.1056/NEJM198908313210903
  8. Shorr AF, Scoville SL, Cersovsky SB, Shanks GD, Ockenhouse CF, Smoak BL, Carr WW, Petruccelli BP. Acute eosinophilic pneumonia among US military personal deployed in or near Iraq. JAMA 292:2997-3005, 2004 https://doi.org/10.1001/jama.292.24.2997
  9. Jarvis MJ, Tunstall-Pedoe H, Feyerabend C, Vesey C, Saloojee Y. Comparison of tests used to distinguish smokers from nonsmokers. Am J Public Health 77:1435-1438, 1987 https://doi.org/10.2105/AJPH.77.11.1435
  10. Kang YH, Lee YJ, Kim HK, Yun YH, Jeong SY, Lee JS, Park JG. Usefulness of urinary cotinine test to distinguish smokers from nonsmokers. Korean J Lab Med 23:92-97, 2003
  11. Sepkovic DW, Haley NI. Biomedical applications of cotinine quantitation in smoking related research. Am J Public Health 75:663-665, 1985 https://doi.org/10.2105/AJPH.75.6.663
  12. Biber A, Scherer G, Hoepfner I, Adlkofer F, Heller WD, Haddow JE, Knight GJ. Determination of nicotine and cotinine in human serum and urine: an interlaboratory study. Toxicol Lett 35:45-52, 1987 https://doi.org/10.1016/0378-4274(87)90084-1
  13. Haufroid V, Lison D. Urinary cotinine as a tobacco-smoke exposure index: a minireview. Int Arch Occup Environ Health 71:162-168, 1998 https://doi.org/10.1007/s004200050266