Comparison of alveolar septal inflammation to bronchoalveolar lavage in interstitial lung diseases

Respiration; International Review of Thoracic Diseases
N NagataM Kido

Abstract

We analyzed transbronchial lung biopsy (TBLB) specimens by morphometry using a computer-aided graphic analyzer to quantify the severity of alveolar septal inflammation and investigated the correlation between the severity of inflammation and bronchoalveolar lavage fluid (BALF) lymphocyte content in various types of interstitial lung disease (ILD). Bronchoalveolar lavage was performed in the right S4 or S5 with 3 x 50 ml of sterile saline in 55 hospitalized patients with ILD between 1989 and 1993. Fluoroscopy-guided TBLB was then performed in the right S1, S2, S8, and S9. The severity of alveolar septal inflammation in TBLB specimens was quantified and expressed as the linear density of mononuclear cells infiltrating the alveolar septum. The severity of alveolar septal inflammation was not correlated with BALF lymphocyte content in the overall study populations (n = 55, p = 0.55), but was significantly correlated with BALF lymphocyte content in patients with hypersensitivity pneumonitis (n = 7, p = 0.021). No positive correlation was observed in patients with other types of ILD such as sarcoidosis (n = 17, p = 0.71), interstitial pneumonitis/fibrosis (n = 22, p = 0.98) or pneumoconiosis (n = 9, p = 0.48).

Citations

Dec 31, 1997·American Journal of Respiratory and Critical Care Medicine·G ZisselJ Müller-Quernheim
Jun 21, 2007·Journal of Inflammation·Spyros A PapirisZoe Daniil
Jan 23, 2010·The American Journal of Pathology·Li-Chin YaoDonald M McDonald
Jul 25, 2020·American Journal of Respiratory and Critical Care Medicine·Ganesh RaghuKevin C Wilson
Oct 30, 2001·The Medical Clinics of North America·D A Welsh, C M Mason

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