Nishio M, Ohata M, Suruda T, Uetani K, Kobayashi H, Funasako M
Department of Internal Medicine, Wakayama Medical College Kihoku Hospital, Japan.
Intern Med. 1992 Sep;31(9):1139-43. doi: 10.2169/internalmedicine.31.1139.
A previously healthy young man presented with acute respiratory distress, high fever and bilateral ground-glass appearance on chest radiograph. Bronchoalveolar lavage analysis demonstrated significant eosinophilia (72%) with no evidence of infection. The transbronchial lung biopsy showed that the walls of bronchioli and alveolar septa were markedly infiltrated with eosinophils. The patient rapidly improved with corticosteroid therapy. This case exemplifies the recently described idiopathic acute eosinophilic pneumonia. Similar cases published in the Japanese literature were reviewed and discussed.
一名既往健康的年轻男性出现急性呼吸窘迫、高热，胸部X线片显示双侧磨玻璃样改变。支气管肺泡灌洗分析显示嗜酸性粒细胞显著增多（72%），无感染证据。经支气管肺活检显示细支气管壁和肺泡间隔有明显的嗜酸性粒细胞浸润。该患者经皮质类固醇治疗后迅速好转。本病例是最近描述的特发性急性嗜酸性粒细胞性肺炎的典型例子。对日本文献中发表的类似病例进行了回顾和讨论。
