Gp. Rossi et al., BRONCHOCENTRIC GRANULOMATOSIS AND CENTRAL DIABETES-INSIPIDUS SUCCESSFULLY TREATED WITH CORTICOSTEROIDS, The European respiratory journal, 7(10), 1994, pp. 1893-1898
Bronchocentric granulomatosis (BCG) is a rare chronic granulomatous lu
ng disease that leads to destruction of the airway walls. It has been
observed in association with various conditions, but never, so far, be
en reported to involve the central nervous system. We report a case of
histologically confirmed pulmonary bronchocentric granulomatosis temp
orally associated with a partial central diabetes insipidus (CDI). Alt
hough the pathological basis of the posterior pituitary gland involvem
ent was not ascertained, the temporal association of bronchocentric gr
anulomatosis and central diabetes insipidus, as well as the fact that
corticosteroid treatment provided stable remission of both conditions
after a 10 month follow-up, strongly suggest that central diabetes ins
ipidus was aetiologically related to bronchocentric granulomatosis in
this patient.