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黏液嵌塞:一名囊性纤维化患者中过敏性支气管肺曲霉病的一种不寻常形式。

Mucoid impaction: an unusual form of allergic bronchopulmonary aspergillosis in a patient with cystic fibrosis.

作者信息

Cakir E, Uyan Z S, Ersu R Hamutcu, Karadag B, Karakoc F, Dagli E

机构信息

Division of Pediatric Pulmonology, Marmara University, Istanbul, Turkey.

出版信息

Pediatr Pulmonol. 2006 Nov;41(11):1103-7. doi: 10.1002/ppul.20499.

Abstract

We reported a child with cystic fibrosis (CF) who developed mucoid impaction related to allergic bronchopulmonary aspergillosis (ABPA). This is the first reported case of mucoid impaction related to ABPA in CF described to date in the literature. The case was successfully treated by corticosteroids and itraconazole therapy, but relapsed 6 months later. During exacerbation therapy, cataract formation complicated the corticosteroid treatment. We want to emphasize that 6-months therapy may be inadequate for the treatment of ABPA, and it is important to monitor for possible complications of corticosteroids therapy.

摘要

我们报告了一名患有囊性纤维化(CF)的儿童,其发生了与变应性支气管肺曲霉病(ABPA)相关的黏液嵌塞。这是迄今为止文献中报道的首例CF患者中与ABPA相关的黏液嵌塞病例。该病例通过皮质类固醇和伊曲康唑治疗成功治愈,但6个月后复发。在病情加重期治疗期间,皮质类固醇治疗引发了白内障形成。我们想强调的是,6个月的治疗可能不足以治疗ABPA,监测皮质类固醇治疗的可能并发症很重要。

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