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POSTRADIATION PNEUMONITIS IN THE PRACTICE OF A PULMONOLOGIST

Abstract

Postradiation pneumonitis is one of the most frequent complications after X-ray therapy. The frequency of occurrence varies from 15.4 till 61% of cases, and in 3.7% of patients the disease is the cause of the death. This is conditioned by the fact that pulmonary tissue has low tolerance to radiation which leads to the damage of pulmonary parenchyma. In modern literature there are not enough data and recommendations about the treatment of the patients with postradiation pneumonitis. The presented clinical case of late postradiation pneumonitis allowed to have accurate differential diagnostics. The disease imitated influenza-like syndrome, pneumonia, tuberculosis with pleuritis; these diagnoses were denied after a careful study. With the help of computer-aided tomography, thin structural changes of pulmonary parenchyma and of the bronchial tree were revealed. The course of systemic corticosteroids helped to stabilize the response of the damaged pulmonary tissue.

About the Authors

Natal'ya L. Semishcheva
Far Eastern Scientific Center of Physiology and Pathology of Respiration SB RAMS
Russian Federation


Elena I. Karapetyuan
Far Eastern Scientific Center of Physiology and Pathology of Respiration SB RAMS
Russian Federation


Tat'yana A. Mal'tseva
Far Eastern Scientific Center of Physiology and Pathology of Respiration SB RAMS
Russian Federation


Natal'ya V. Avdeeva
Far Eastern Scientific Center of Physiology and Pathology of Respiration SB RAMS
Russian Federation


Andrey N. Odireev
Far Eastern Scientific Center of Physiology and Pathology of Respiration SB RAMS
Russian Federation


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Review

For citations:


Semishcheva N.L., Karapetyuan E.I., Mal'tseva T.A., Avdeeva N.V., Odireev A.N. POSTRADIATION PNEUMONITIS IN THE PRACTICE OF A PULMONOLOGIST. Bulletin Physiology and Pathology of Respiration. 2014;(53):137-142. (In Russ.)

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ISSN 1998-5029 (Print)