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[变应性支气管肺结核——1例无支气管哮喘的病例]

[Allergic broncho-pulmonary tuberculosis--a case without bronchial asthma].

作者信息

Naumnik W, Chyczewska E, Swidzińska E, Chyczewski L

机构信息

Kliniki Chorób Płuc i Gruźlicy AM w Białymstoku.

出版信息

Pneumonol Alergol Pol. 2001;69(3-4):198-205.

Abstract

Aspergillus fumigatus can cause a number of lung diseases. One of them is allergic bronchopulmonary aspergillosis (ABPA) characterized by pulmonary eozynophilia, asthma, an allergic type of immune response in the bronchi and proximal bronchiectases. ABPA was recognised in 28-years old man (round shadows in the lung, obturated bronchus with mucoid impaction, positive skin tests with aspergillin and presence of precipitins to Aspergillus fumigatus, elevated serum IgE level). Patient was treated for 6 months with corticosteroids. After 2 years of regression there was an exacerbation of ABPA was recognised. The steroid therapy was repeated.

摘要

烟曲霉可引发多种肺部疾病。其中之一是变应性支气管肺曲霉病(ABPA),其特征为肺部嗜酸性粒细胞增多、哮喘、支气管的过敏型免疫反应以及近端支气管扩张。一名28岁男性被诊断为ABPA(肺部出现圆形阴影、支气管被黏液阻塞、烟曲霉菌素皮肤试验呈阳性、存在针对烟曲霉的沉淀素、血清IgE水平升高)。该患者接受了6个月的皮质类固醇治疗。病情缓解2年后,ABPA复发,于是再次进行类固醇治疗。

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