Chen Horng-An, Lai Shinn-Liang, Kwang Wei-Kang, Liu Juhn-Cherng, Chen Chun-Hsiung, Huang De-Feng
Taipei Veterans General Hospital, Taiwan.
Med J Aust. 2006 Mar 20;184(6):294-5. doi: 10.5694/j.1326-5377.2006.tb00242.x.
Middle lobe syndrome - recurrent atelectasis and/or bronchiectasis involving the right middle lobe and/or lingula - has, up to now, not been reported as the pulmonary manifestation of primary Sjögren's syndrome. We describe a patient in whom lymphocytic bronchiolitis in the atelectatic lobes was proved histologically from two separate transbronchial biopsies. The atelectasis responded well to glucocorticoid treatment, suggesting that the peribronchiolar lymphocytic infiltrates may have played an important role in the development of middle lobe syndrome in this patient.
中叶综合征——复发性肺不张和/或支气管扩张累及右中叶和/或舌叶——迄今为止，尚未被报道为原发性干燥综合征的肺部表现。我们描述了一名患者，通过两次独立的经支气管活检，组织学证实了肺不张肺叶中存在淋巴细胞性细支气管炎。肺不张对糖皮质激素治疗反应良好，提示支气管周围淋巴细胞浸润可能在该患者中叶综合征的发生中起重要作用。
