Interstitial lung disease (ILD) has rarely been reported as a manifestation of giant cell arteritis (GCA). We herein report a unique case of GCA in a 76-year-old woman who presented with ILD as an initial manifestation of GCA. Ten years before admission, she had been diagnosed with granulomatous ILD of unknown etiology. Corticosteroid therapy induced remission. One year after the cessation of corticosteroid therapy, she was admitted with a persistent fever. After admission, she developed left oculomotor paralysis. Positron emission tomography with 2-deoxy-2-[fluorine-18]fluoro-D-glucose integrated with computed tomography (18F-FDG PET/CT) proved extremely useful in establishing the diagnosis. Our case promotes awareness of GCA as a possible diagnosis for granulomatous ILD with unknown etiology.
Immune checkpoint inhibitors (ICIs) have been used to treat lung cancer. Several types of ICI-related interstitial lung diseases have been reported, including organizing pneumonia, non-specific interstitial pneumonia, and diffuse alveolar damage. However, pembrolizumab-associated bronchiolitis requiring treatment for persistent cough has not yet been reported. Here, we describe a patient who developed dry cough while being treated with pembrolizumab for lung adenocarcinoma. Radiography and lung biopsy findings indicated bronchiolitis. His cough improved after the discontinuation of pembrolizumab and treatment with erythromycin, an inhaled corticosteroid, a long-acting muscarinic antagonist, and a long-acting β
2
agonist.
The purpose of this study is to consider the space nature which appears in memories of tho hoUsing ・ , to clear up objecIs and causes of memories , in Qrder tD catch the charm of the space nature itself about present − day housing 『 paces ・ As resultS, 1:Alot of < space > Qn the house we 陀 memorized ( ab 【 )ut 70 % ) , anCl they were recalled at first , 2:Memories, to which a fatnily ' s reoDllections and individual reoollections were the cause , were 80% or more . So there was very little memory to which the impression of space natUre and the space nature itself were the cause . 3:i1 the case of the impression of spaee natUre and the space nature itself were causes of memorieS there was a few example ef the memory to which it was the cause to feel an impression strong against the relation of a verdcal spaoe , 舞 y 卿 o π 誌
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