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The thoracic cage becomes flattened in the progression of pleuroparenchymal fibroelastosis

Taishi Harada, Yuji Yoshida, Yasuhiko Kitasato, Nobuko Tsuruta, Kentaro Wakamatsu, Takako Hirota, Makoto Tanaka, Naoki Tashiro, Hiroshi Ishii, Motokimi Shiraishi, Masaki Fujita, Nobuhiko Nagata, Kentaro Watanabe
European Respiratory Review 2014 23: 263-266; DOI: 10.1183/09059180.00006713
Taishi Harada
1Dept of Respiratory Medicine, Fukuoka University School of Medicine, Fukuoka, Japan. 2Dept of Respiratory Medicine, Kurume Dai-ichi Hospital, Kurume, Japan. 3Dept of Respiratory Medicine, Hamanomachi Hospital, Fukuoka, Japan. 4Dept of Respiratory Medicine, National Hospital Organization, Omuta National Hospital, Omuta, Japan. 5Dept of Respiratory Medicine, Fukuoka University Chikushi Hospital, Fukuoka, Japan.
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Yuji Yoshida
1Dept of Respiratory Medicine, Fukuoka University School of Medicine, Fukuoka, Japan. 2Dept of Respiratory Medicine, Kurume Dai-ichi Hospital, Kurume, Japan. 3Dept of Respiratory Medicine, Hamanomachi Hospital, Fukuoka, Japan. 4Dept of Respiratory Medicine, National Hospital Organization, Omuta National Hospital, Omuta, Japan. 5Dept of Respiratory Medicine, Fukuoka University Chikushi Hospital, Fukuoka, Japan.
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Yasuhiko Kitasato
1Dept of Respiratory Medicine, Fukuoka University School of Medicine, Fukuoka, Japan. 2Dept of Respiratory Medicine, Kurume Dai-ichi Hospital, Kurume, Japan. 3Dept of Respiratory Medicine, Hamanomachi Hospital, Fukuoka, Japan. 4Dept of Respiratory Medicine, National Hospital Organization, Omuta National Hospital, Omuta, Japan. 5Dept of Respiratory Medicine, Fukuoka University Chikushi Hospital, Fukuoka, Japan.
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Nobuko Tsuruta
1Dept of Respiratory Medicine, Fukuoka University School of Medicine, Fukuoka, Japan. 2Dept of Respiratory Medicine, Kurume Dai-ichi Hospital, Kurume, Japan. 3Dept of Respiratory Medicine, Hamanomachi Hospital, Fukuoka, Japan. 4Dept of Respiratory Medicine, National Hospital Organization, Omuta National Hospital, Omuta, Japan. 5Dept of Respiratory Medicine, Fukuoka University Chikushi Hospital, Fukuoka, Japan.
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Kentaro Wakamatsu
1Dept of Respiratory Medicine, Fukuoka University School of Medicine, Fukuoka, Japan. 2Dept of Respiratory Medicine, Kurume Dai-ichi Hospital, Kurume, Japan. 3Dept of Respiratory Medicine, Hamanomachi Hospital, Fukuoka, Japan. 4Dept of Respiratory Medicine, National Hospital Organization, Omuta National Hospital, Omuta, Japan. 5Dept of Respiratory Medicine, Fukuoka University Chikushi Hospital, Fukuoka, Japan.
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Takako Hirota
1Dept of Respiratory Medicine, Fukuoka University School of Medicine, Fukuoka, Japan. 2Dept of Respiratory Medicine, Kurume Dai-ichi Hospital, Kurume, Japan. 3Dept of Respiratory Medicine, Hamanomachi Hospital, Fukuoka, Japan. 4Dept of Respiratory Medicine, National Hospital Organization, Omuta National Hospital, Omuta, Japan. 5Dept of Respiratory Medicine, Fukuoka University Chikushi Hospital, Fukuoka, Japan.
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Makoto Tanaka
1Dept of Respiratory Medicine, Fukuoka University School of Medicine, Fukuoka, Japan. 2Dept of Respiratory Medicine, Kurume Dai-ichi Hospital, Kurume, Japan. 3Dept of Respiratory Medicine, Hamanomachi Hospital, Fukuoka, Japan. 4Dept of Respiratory Medicine, National Hospital Organization, Omuta National Hospital, Omuta, Japan. 5Dept of Respiratory Medicine, Fukuoka University Chikushi Hospital, Fukuoka, Japan.
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Naoki Tashiro
1Dept of Respiratory Medicine, Fukuoka University School of Medicine, Fukuoka, Japan. 2Dept of Respiratory Medicine, Kurume Dai-ichi Hospital, Kurume, Japan. 3Dept of Respiratory Medicine, Hamanomachi Hospital, Fukuoka, Japan. 4Dept of Respiratory Medicine, National Hospital Organization, Omuta National Hospital, Omuta, Japan. 5Dept of Respiratory Medicine, Fukuoka University Chikushi Hospital, Fukuoka, Japan.
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Hiroshi Ishii
1Dept of Respiratory Medicine, Fukuoka University School of Medicine, Fukuoka, Japan. 2Dept of Respiratory Medicine, Kurume Dai-ichi Hospital, Kurume, Japan. 3Dept of Respiratory Medicine, Hamanomachi Hospital, Fukuoka, Japan. 4Dept of Respiratory Medicine, National Hospital Organization, Omuta National Hospital, Omuta, Japan. 5Dept of Respiratory Medicine, Fukuoka University Chikushi Hospital, Fukuoka, Japan.
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Motokimi Shiraishi
1Dept of Respiratory Medicine, Fukuoka University School of Medicine, Fukuoka, Japan. 2Dept of Respiratory Medicine, Kurume Dai-ichi Hospital, Kurume, Japan. 3Dept of Respiratory Medicine, Hamanomachi Hospital, Fukuoka, Japan. 4Dept of Respiratory Medicine, National Hospital Organization, Omuta National Hospital, Omuta, Japan. 5Dept of Respiratory Medicine, Fukuoka University Chikushi Hospital, Fukuoka, Japan.
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Masaki Fujita
1Dept of Respiratory Medicine, Fukuoka University School of Medicine, Fukuoka, Japan. 2Dept of Respiratory Medicine, Kurume Dai-ichi Hospital, Kurume, Japan. 3Dept of Respiratory Medicine, Hamanomachi Hospital, Fukuoka, Japan. 4Dept of Respiratory Medicine, National Hospital Organization, Omuta National Hospital, Omuta, Japan. 5Dept of Respiratory Medicine, Fukuoka University Chikushi Hospital, Fukuoka, Japan.
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Nobuhiko Nagata
1Dept of Respiratory Medicine, Fukuoka University School of Medicine, Fukuoka, Japan. 2Dept of Respiratory Medicine, Kurume Dai-ichi Hospital, Kurume, Japan. 3Dept of Respiratory Medicine, Hamanomachi Hospital, Fukuoka, Japan. 4Dept of Respiratory Medicine, National Hospital Organization, Omuta National Hospital, Omuta, Japan. 5Dept of Respiratory Medicine, Fukuoka University Chikushi Hospital, Fukuoka, Japan.
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Kentaro Watanabe
1Dept of Respiratory Medicine, Fukuoka University School of Medicine, Fukuoka, Japan. 2Dept of Respiratory Medicine, Kurume Dai-ichi Hospital, Kurume, Japan. 3Dept of Respiratory Medicine, Hamanomachi Hospital, Fukuoka, Japan. 4Dept of Respiratory Medicine, National Hospital Organization, Omuta National Hospital, Omuta, Japan. 5Dept of Respiratory Medicine, Fukuoka University Chikushi Hospital, Fukuoka, Japan.
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  • For correspondence: watanabe@fukuoka-u.ac.jp
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    Figure 1.

    Chest computed tomography scan from a 55-year-old male with pleuroparenchymal fibroelastosis (case 2) at the level of the 6th thoracic vertebra a) on admission and b) 5.27 years later. The anteroposterior diameter of the thoracic cage (APDT)/transverse diameter of the thoracic cage (TDT) ratio decreased after 5.27 years. Note the space present between the anterior edge of the ascending aorta and the anterior chest wall in (a). The anterior edge of the ascending aorta was attached to the anterior chest wall after 5.27 years. TDT was determined as the longest transverse diameter of the thoracic cage measured parallel to a line (#) that runs along the rearmost points of the bilateral 6th ribs in the horizontal section of the CT.

Tables

  • Figures
  • Table 1. Change of the thoracic cage and forced vital capacity (FVC) in patients with pleuroparenchymal fibroelastosis
    CaseAge yearsSexIdiopathic or with underlying diseaseDiagnostic methodAPDT/TDT ratioFVC (% predicted)
    1st measurement2nd measurementInterval between measurements1st measurement2nd measurementInterval between measurements
    141MUlcerative colitisSLB0.450.4584.39 years
    255MIdiopathicSLB0.5920.5095.27 years3540 mL (87%)1120 mL (29%)4.67 years
    360MIdiopathicSLB0.5990.5542.79 years2580 mL (78%)1040 mL (32%)2.64 years
    478MRadiation therapy for oesophageal cancerAutopsy0.5790.531.87 years2480 mL (69%)1370 mL (39%)1.42 years
    532FLung transplantationSLB0.540.4892.31 years2050 mL (69%)640 mL (20%)2.47 years
    648FIdiopathicSLB0.5990.5224.03 years2030 mL (67%)1380 mL (49%)3.61 years
    759FIdiopathicSLB0.6520.64.59 years
    881FIdiopathicAutopsy0.7290.6122.04 years1800 mL (83%)1060 mL (51%)1.84 years
    • APDT: anteroposterior diameter of the thoracic cage; TDT: transverse diameter of the thoracic cage; M: male; F: female; SLB: surgical lung biopsy.

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The thoracic cage becomes flattened in the progression of pleuroparenchymal fibroelastosis
Taishi Harada, Yuji Yoshida, Yasuhiko Kitasato, Nobuko Tsuruta, Kentaro Wakamatsu, Takako Hirota, Makoto Tanaka, Naoki Tashiro, Hiroshi Ishii, Motokimi Shiraishi, Masaki Fujita, Nobuhiko Nagata, Kentaro Watanabe
European Respiratory Review Jun 2014, 23 (132) 263-266; DOI: 10.1183/09059180.00006713

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The thoracic cage becomes flattened in the progression of pleuroparenchymal fibroelastosis
Taishi Harada, Yuji Yoshida, Yasuhiko Kitasato, Nobuko Tsuruta, Kentaro Wakamatsu, Takako Hirota, Makoto Tanaka, Naoki Tashiro, Hiroshi Ishii, Motokimi Shiraishi, Masaki Fujita, Nobuhiko Nagata, Kentaro Watanabe
European Respiratory Review Jun 2014, 23 (132) 263-266; DOI: 10.1183/09059180.00006713
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