[肺部浸润与外周血嗜酸性粒细胞增多]

[Pulmonary infiltrates and peripheral blood eosinophilia].

作者信息

Ceppi M, Coronado M, Gainon J, Fitting J W, Lamy O

机构信息

Service de médecine A, Département de Médecine, CHUV, Lausanne.

出版信息

Praxis (Bern 1994). 2005 Jan 12;94(1-2):13-6. doi: 10.1024/0369-8394.94.1.13.

DOI:10.1024/0369-8394.94.1.13

PMID:15697145

Abstract

A 43-year-old asthmatic woman was hospitalised because of fever, cough, expectorations and asthenia. Chest X-rays showed bilateral pulmonary infiltrates. Peripheral blood eosinophilia was greater than 9 G/l. Bronchoalveolar lavage revealed a massive eosinophilia. The clinical features were consistent with a chronic eosinophilic pneumonia. All the symptoms resolved with the initiation of prednisone treatment. The differential diagnosis of eosinophilic pneumonia is discussed.

摘要

一名43岁的哮喘女性因发热、咳嗽、咳痰和乏力入院。胸部X光显示双侧肺部浸润。外周血嗜酸性粒细胞增多大于9 G/l。支气管肺泡灌洗显示大量嗜酸性粒细胞。临床特征符合慢性嗜酸性粒细胞性肺炎。开始使用泼尼松治疗后所有症状均得到缓解。本文讨论了嗜酸性粒细胞性肺炎的鉴别诊断。