Umeki S, Mitsui Y, Yagi S, Soejima R, Nakajima M, Manabe T
Department of Medicine, Kawasaki Medical School, Okayama, Japan.
Nihon Kyobu Shikkan Gakkai Zasshi. 1991 Oct;29(10):1328-33.
A 33-year-old man was referred to our department because of left cervical lymphadenopathy for one month which did not respond to antibiotics. Histological examination of the lymph node biopsy revealed eosinophilic granuloma. However, repeated bronchoscopic examinations performed to evaluate the pulmonary lesions appearing on chest roentgenograms and chest CT scans revealed no evidence of eosinophilic granuloma. Steroid therapy resulted in resolution of the cervical lymphadenopathy, but the pulmonary lesions showed no response. The possible relationship between eosinophilic granuloma and pulmonary cystic lesions in our patient is discussed.
一名33岁男性因左侧颈部淋巴结肿大1个月且对抗生素治疗无反应而转诊至我科。淋巴结活检的组织学检查显示为嗜酸性肉芽肿。然而,为评估胸部X线片和胸部CT扫描上出现的肺部病变而进行的多次支气管镜检查均未发现嗜酸性肉芽肿的证据。类固醇治疗使颈部淋巴结肿大消退,但肺部病变无反应。本文讨论了我们患者中嗜酸性肉芽肿与肺囊性病变之间可能的关系。