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[一例具有非典型临床和影像学进展的慢性嗜酸性粒细胞性肺炎病例]

[A case of chronic eosinophilic pneumonia with atypical clinical and radiological progress].

作者信息

Sahbaz Sibel, Uçan Eyüp Sabri, Sevinç Can, Ceylan Emel, Alacacioğlu Ahmet, Kargi Aydanur

机构信息

Pulmonary Diseases, Faculty of Medicine, Dokuz Eylül University, Izmir, Turkey.

出版信息

Tuberk Toraks. 2004;52(2):171-4.

Abstract

Eosinophilic lung disease is characterised by eosinophilic infiltration of lung tissue besides peripherical blood and bronchoalveolar lavage (BAL) fluid eosinophilia. A 48 year-old male who attended our clinics with cough and sputum lasting for 2-3 months, has been evaluated for micronodular interstitial infiltration bilaterally in all lung areas. Eosinophilia was detected in hemogram but BAL fluid was not diagnostic. Transbronchial lung parenchymal biopsy was compliant with chronic eosinophilic pneumonia. No special cause has been found after evaluation and the case was accepted to be idiopathic. Because of unfamiliar clinical, radiological and pathological findings, we decided to present this case.

摘要

嗜酸性粒细胞性肺病的特征是除外周血和支气管肺泡灌洗(BAL)液嗜酸性粒细胞增多外,肺组织有嗜酸性粒细胞浸润。一名48岁男性因咳嗽、咳痰持续2 - 3个月前来我院就诊,经评估发现双肺所有区域均有微小结节性间质浸润。血常规检测发现嗜酸性粒细胞增多,但BAL液检测结果不具有诊断意义。经支气管肺实质活检符合慢性嗜酸性粒细胞性肺炎。评估后未发现特殊病因,该病例被认为是特发性的。由于临床、放射学和病理学表现不常见,我们决定报告此病例。

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