Fenniche Soraya, Ben Jrad Insaf, Ben Fatma Lilia, El Fékih Leila, Attia Selma, Hassène Héla, Belhabib Dalenda, Megdiche Mohamed Lamine
Service Ibn Nafiss de Pneumologie, Hôpital Abderrahmen Mami, Ariana, Tunisie.
Tunis Med. 2004 Apr;82(4):381-4.
Respiratory manifestations in Horton's disease are uncommon. We report the case of 63 year-old man with Horton disease diagnosed 2 months before, who was hospitalised for fever, deterioration in general health, cough and hemoptysis. Chest X-ray showed an infiltrate in the right upper lobe and bilateral cystic opacities predominant on basal suggesting bronchectasis who was confirmed secondary in CT-scan. Even though cortico sensible clinical manifestations and radiologic infiltrate were previously described in Horton's disease, association with bronchectasis was never been reported in literature and her etio pathogenic mechanism must be clarified.
霍顿病的呼吸道表现并不常见。我们报告一例63岁男性患者，2个月前被诊断为霍顿病，因发热、全身健康状况恶化、咳嗽和咯血入院。胸部X线显示右上叶浸润，双侧囊性混浊以基底为主，提示支气管扩张，CT扫描证实为继发性。尽管霍顿病先前已有对皮质敏感的临床表现和放射学浸润的描述，但支气管扩张与之相关的情况在文献中从未有过报道，其发病机制必须予以阐明。
