PMID- 34946260 OWN - NLM STAT- MEDLINE DCOM- 20211227 LR - 20211229 IS - 1648-9144 (Electronic) IS - 1010-660X (Print) IS - 1010-660X (Linking) VI - 57 IP - 12 DP - 2021 Nov 30 TI - Determining Response to Treatment for Drug-Induced Bronchocentric Granulomatosis by the Forced Oscillation Technique. LID - 10.3390/medicina57121315 [doi] LID - 1315 AB - Anti-tumor necrosis factor alpha (TNFalpha) therapy is widely used to treat various inflammatory conditions. Paradoxically, there are several case reports describing the development of bronchocentric granulomatosis treated with TNFalpha inhibitors, and it is difficult to determine the effect of treatment using conventional spirometry because the lesions are located in small airways. However, it has been reported that the forced oscillation technique (FOT) is useful in the evaluation of small airway disease in bronchial asthma or chronic obstructive pulmonary disease. We performed the FOT to determine the effect of treatment on bronchocentric granulomatosis and found it to be useful. We report the case of a 55-year-old female with ulcerative colitis who was treated with golimumab and who developed bronchocentric granulomatosis as a sarcoid-like reaction to golimumab. She was successfully treated with prednisone, and the treatment efficacy was confirmed by the FOT. The FOT may be useful in the evaluation of small airway disease in bronchocentric granulomatosis. This case may help inform clinicians of the usefulness of the FOT to assess small airway disease in various diseases. FAU - Fukahori, Susumu AU - Fukahori S AUID- ORCID: 0000-0003-2709-8880 AD - Department of Respiratory Medicine, Nagasaki University Hospital, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan. FAU - Obase, Yasushi AU - Obase Y AUID- ORCID: 0000-0001-8838-7403 AD - Department of Respiratory Medicine, Nagasaki University Hospital, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan. AD - Department of Respiratory Medicine, Graduate School of Biomedical Sciences, Nagasaki University, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan. FAU - Fukushima, Chizu AU - Fukushima C AD - Department of Respiratory Medicine, Nagasaki University Hospital, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan. FAU - Takao, Daisuke AU - Takao D AD - Department of Respiratory Medicine, Nagasaki University Hospital, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan. FAU - Iriki, Jun AU - Iriki J AD - Department of Respiratory Medicine, Nagasaki University Hospital, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan. FAU - Ozasa, Mutsumi AU - Ozasa M AD - Department of Pathology, Nagasaki University Hospital, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan. FAU - Zaizen, Yoshiaki AU - Zaizen Y AUID- ORCID: 0000-0003-2274-4599 AD - Department of Pathology, Nagasaki University Hospital, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan. FAU - Takamura, Noboru AU - Takamura N AUID- ORCID: 0000-0002-5552-3234 AD - Atomic Bomb Disease Institute, Nagasaki University, 1-12-4 Sakamoto, Nagasaki 852-8523, Japan. FAU - Fukuoka, Junya AU - Fukuoka J AD - Department of Pathology, Nagasaki University Hospital, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan. FAU - Ashizawa, Kazuto AU - Ashizawa K AUID- ORCID: 0000-0001-6726-1297 AD - Department of Clinical Oncology, Graduate School of Biomedical Sciences, Nagasaki University 1-7-1 Sakamoto, Nagasaki 852-8501, Japan. FAU - Mukae, Hiroshi AU - Mukae H AD - Department of Respiratory Medicine, Nagasaki University Hospital, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan. AD - Department of Respiratory Medicine, Graduate School of Biomedical Sciences, Nagasaki University, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan. LA - eng GR - Non-profit Organization Aimed to Support Community Medicine Research in Nagasaki/ GR - GlaxoSmithKline Co. Ltd/ PT - Case Reports DEP - 20211130 PL - Switzerland TA - Medicina (Kaunas) JT - Medicina (Kaunas, Lithuania) JID - 9425208 RN - 0 (Pharmaceutical Preparations) SB - IM MH - *Asthma/drug therapy MH - Female MH - Humans MH - Middle Aged MH - *Pharmaceutical Preparations MH - *Pulmonary Disease, Chronic Obstructive/drug therapy MH - Respiratory Function Tests MH - Spirometry PMC - PMC8704422 OTO - NOTNLM OT - anti-tumor necrosis factor alpha therapy OT - bronchocentric granulomatosis OT - forced oscillation technique OT - golimumab OT - inflammatory bowel disease OT - sarcoid-like reaction OT - small airway disease OT - ulcerative colitis COIS- The authors declare no conflict of interest. EDAT- 2021/12/25 06:00 MHDA- 2021/12/28 06:00 PMCR- 2021/11/30 CRDT- 2021/12/24 01:11 PHST- 2021/09/14 00:00 [received] PHST- 2021/11/13 00:00 [revised] PHST- 2021/11/25 00:00 [accepted] PHST- 2021/12/24 01:11 [entrez] PHST- 2021/12/25 06:00 [pubmed] PHST- 2021/12/28 06:00 [medline] PHST- 2021/11/30 00:00 [pmc-release] AID - medicina57121315 [pii] AID - medicina-57-01315 [pii] AID - 10.3390/medicina57121315 [doi] PST - epublish SO - Medicina (Kaunas). 2021 Nov 30;57(12):1315. doi: 10.3390/medicina57121315.