PMID- 35466169 OWN - NLM STAT- MEDLINE DCOM- 20221202 LR - 20230106 IS - 1349-7235 (Electronic) IS - 0918-2918 (Print) IS - 0918-2918 (Linking) VI - 61 IP - 23 DP - 2022 Dec 1 TI - Interstitial Pneumonia with HLA-B54 Antigen that Responded Well to Erythromycin. PG - 3559-3562 LID - 10.2169/internalmedicine.9304-21 [doi] AB - A 65-year-old Japanese man with interstitial pneumonia demonstrated honeycomb lung with thickened walls on chest high-resolution computed tomography (HRCT) and predominance of neutrophils in the cell fraction of the bronchoalveolar lavage fluid. Although there were no centrilobular nodular or branching shadows on chest HRCT suggestive of diffuse panbronchiolitis, he exhibited sinusitis and had the human leukocyte antigen (HLA)-B54 antigen. With long-term macrolide therapy, the cough and sputum production markedly improved, wall thickening of the honeycomb lung on chest HRCT decreased, and the forced vital capacity increased. Confirming the presence of HLA-B54 antigen may help determine the indication for long-term macrolide therapy in interstitial pneumonia patients. FAU - Ishimoto, Hiroshi AU - Ishimoto H AD - Department of Respiratory Medicine, Nagasaki University Graduate School of Biomedical Sciences, Japan. FAU - Sakamoto, Noriho AU - Sakamoto N AD - Department of Respiratory Medicine, Nagasaki University Graduate School of Biomedical Sciences, Japan. FAU - Hara, Atsuko AU - Hara A AD - Department of Respiratory Medicine, Nagasaki University Graduate School of Biomedical Sciences, Japan. FAU - Kido, Takashi AU - Kido T AD - Department of Respiratory Medicine, Nagasaki University Graduate School of Biomedical Sciences, Japan. FAU - Yamaguchi, Hiroyuki AU - Yamaguchi H AD - Department of Respiratory Medicine, Nagasaki University Graduate School of Biomedical Sciences, Japan. FAU - Yamamoto, Kazuko AU - Yamamoto K AD - Department of Respiratory Medicine, Nagasaki University Graduate School of Biomedical Sciences, Japan. FAU - Obase, Yasushi AU - Obase Y AD - Department of Respiratory Medicine, Nagasaki University Graduate School of Biomedical Sciences, Japan. FAU - Ishimatsu, Yuji AU - Ishimatsu Y AD - Department of Nursing, Nagasaki University Graduate School of Biomedical Sciences, Japan. FAU - Mukae, Hiroshi AU - Mukae H AD - Department of Respiratory Medicine, Nagasaki University Graduate School of Biomedical Sciences, Japan. LA - eng PT - Case Reports PT - Journal Article DEP - 20220423 PL - Japan TA - Intern Med JT - Internal medicine (Tokyo, Japan) JID - 9204241 RN - 63937KV33D (Erythromycin) RN - 0 (HLA-B54 antigen) RN - 0 (HLA-B Antigens) RN - 0 (Macrolides) RN - 0 (Anti-Bacterial Agents) SB - IM MH - Male MH - Humans MH - Aged MH - *Erythromycin/pharmacology/therapeutic use MH - *Lung Diseases, Interstitial/diagnostic imaging/drug therapy MH - HLA-B Antigens MH - Macrolides MH - Anti-Bacterial Agents/therapeutic use PMC - PMC9790779 OTO - NOTNLM OT - HLA-B54 antigen OT - diffuse panbronchiolitis OT - erythromycin OT - interstitial pneumonia OT - macrolide COIS- The authors state that they have no Conflict of Interest (COI). EDAT- 2022/04/26 06:00 MHDA- 2022/12/03 06:00 PMCR- 2022/12/01 CRDT- 2022/04/25 06:14 PHST- 2022/04/26 06:00 [pubmed] PHST- 2022/12/03 06:00 [medline] PHST- 2022/04/25 06:14 [entrez] PHST- 2022/12/01 00:00 [pmc-release] AID - 10.2169/internalmedicine.9304-21 [doi] PST - ppublish SO - Intern Med. 2022 Dec 1;61(23):3559-3562. doi: 10.2169/internalmedicine.9304-21. Epub 2022 Apr 23.