A 57-year-old man was admitted to our hospital because of dyspnea and
abnormal shadow on chest roentgenogram. He had received two herbal dru
gs: Saikokeisikankyou-tou (SKT) for one month and Licium Halimifolium
Mil (LHM) for two weeks, After admission, all medication was stopped a
nd his symptoms were gradually diminished. Transbronchial lung biopsy
specimens showed interstitial pneumonia. Lymphocyte stimulation test,
skin test and challenge test were positive to these herbal drugs. We d
iagnosed him as drug-induced pneumonitis, This is the first report on
pneumonitis caused by Saikokeisikankyou-tou diagnosed by lymphocyte st
imulation test, skin test and challenge test.