Willsie-Ediger S K, Salzman G A, Schaetzel W P
School of Medicine, University of Missouri-Kansas City 64108.
J Am Osteopath Assoc. 1992 Jun;92(6):795-8.
A 29-year-old woman presented with progressive dyspnea, fever, cough, and weight loss. A chest roentgenogram revealed bilateral peripheral infiltrates suggestive of chronic eosinophilic pneumonia. Bronchoscopic evaluation, as well as a therapeutic trial of corticosteroids, was nondiagnostic. Open lung biopsy revealed findings consistent with a diagnosis of sarcoidosis. Roentgenographically, differentiating between sarcoidosis and chronic eosinophilic pneumonia can be difficult. A diagnostic approach, as well as the differential diagnosis of bilateral peripheral pulmonary infiltrates, is discussed.
一名29岁女性出现进行性呼吸困难、发热、咳嗽和体重减轻。胸部X线片显示双侧外周浸润，提示慢性嗜酸性粒细胞性肺炎。支气管镜检查以及皮质类固醇治疗试验均未明确诊断。开胸肺活检结果符合结节病诊断。在X线片上，区分结节病和慢性嗜酸性粒细胞性肺炎可能很困难。本文讨论了双侧外周肺浸润的诊断方法及鉴别诊断。
