The Journal of The Japanese Society of Balneology, Climatology and Physical Medicine
Online ISSN : 1884-3697
Print ISSN : 0029-0343
ISSN-L : 0029-0343
Decrease in Low Attenuation Area (LAA) of the Lungs on High Resolution Computed Tomography (HRCT) by Long-term Spa Therapy in Patients with Asthma
Kozo ASHIDAFumihiro MITSUNOBUYasuhiro HOSAKIHiroshi TSUGENOMakoto OKAMOTONorikazu NISHIDATakuya NAGATAShingo TAKATATadashi YOKOIYoshiro TANIZAKI
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2003 Volume 66 Issue 2 Pages 115-122

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Abstract

Characteristics of low attenuation area (LAA) of the lungs on HRCT were studied in 132 patients with asthma, and long-term spa therapy on the LAA of the lungs was observed in 5 patients with asthma, whose me an %LAA was more than 30%.
1. The morphology of LAA of the lungs on HRCT observed in asthma was different from that in pulmonary emphysema. 2. The LAA of the lungs in asthma was closely related to residual volume (RV). 3. The mean %LAA value significantly decreased from 33.5% before spa therapy to 24.5% at 24 months after beginning of the therapy. CT number also significantly increased after long-term spa therapy. 4. %FEV1.0 value significantly improved from 52.1% before spa therapy to 72.1% at 24 months after spa therapy. The RV value also decreased by spa therapy, however, the decrease was not significant. These results suggest that LAA of the lungs in asthma is associated with hyperinflation, and the LAA of the lungs decreases after long-term spa therapy.

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