Sudou Akihiko, Hashimoto Toshio, Nakamura Hiroyuki, Hatao Eiichi, Ito Masanori, Tsuchida Fumihiro, Kishi Koji, Morisako Takahiro, Yagyuu Hisanaga, Ohishi Shuji, Matsuoka Takeshi
Fifth Department of Internal Medicine, Tokyo Medical University.
Nihon Kokyuki Gakkai Zasshi. 2002 Apr;40(4):326-30.
We encountered a case of pulmonary eosinophilic granuloma complicated with pneumothorax. A 24-year-old man was admitted to our department because of respiratory difficulty. Chest radiography on admission showed a right pneumothorax. A thoracic catheter was therefore inserted, and the pneumothorax was improved. A chest radiograph obtained after treatment showed diffuse linear reticular shadows; and a chest CT scan showed starlike nodular lesions and multiple cysts in the lungs, and a large nodule in the left rib. Because an ulcer had been diagnosed in the oral cavity 1 year previously, a mandible biopsy was performed, and a granulomatous lesion consisting of eosinophils was recognized. Taken together with the pulmonary findings, an eosinophilic granuloma was diagnosed. The patient was instructed not to smoke and the clinical course was observed. The pulmonary, mandibular, and costal lesions improved.
我们遇到一例肺嗜酸性肉芽肿合并气胸的病例。一名24岁男性因呼吸困难入住我科。入院时胸部X线检查显示右侧气胸。因此插入了胸腔导管，气胸得到改善。治疗后获得的胸部X线片显示弥漫性线状网状阴影；胸部CT扫描显示肺部有星状结节性病变和多个囊肿，左肋骨有一个大结节。由于1年前口腔已诊断出溃疡，因此进行了下颌骨活检，发现了由嗜酸性粒细胞组成的肉芽肿性病变。结合肺部检查结果，诊断为嗜酸性肉芽肿。告知患者不要吸烟并观察临床病程。肺部、下颌骨和肋骨病变均有改善。
