Moreau L, Besson J, Valcke J, Philbert M
Sem Hop. 1975 Jan 8;51(2):131-5.
The authors report the case of a young woman with acute miliary appearance of the lung with asphyxia, from which she rapidly recovered. No cause was demonstrated; this illustrates the difficulty in diagnosis of this disease. Contact with a bird, led the authors to consider exogenous, allergic granulomatosis, but immunological examinations did not confirm this. Apart from tuberculosis, almost 50 different pathogenic organisms may cause acute respiratory failure associated with a miliary or reticulo-nodular appearance of the lung. The main methods of diagnosis are discussed in relation to the most commonly observed causes in France.
作者报告了一名年轻女性病例，该患者肺部呈现急性粟粒样外观并伴有窒息，随后迅速康复。未查明病因；这说明了该疾病诊断的困难之处。因患者接触过鸟类，作者考虑为外源性过敏性肉芽肿，但免疫学检查并未证实这一诊断。除结核病外，近50种不同的致病生物可导致与肺部粟粒样或网状结节样外观相关的急性呼吸衰竭。本文结合法国最常见的病因讨论了主要的诊断方法。
