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肾移植成功后进行性肺钙化。

Progressive pulmonary calcification after successful renal transplantation.

作者信息

Yasuo Masanori, Tanabe Tsuyoshi, Komatsu Yoshimichi, Tsushima Kenji, Kubo Keishi, Takahashi Kyoko, Kawakami Satoshi, Honda Takayuki

机构信息

The First Department of Internal Medicine, Shinshu University School of Medicine, Matsumoto, Japan.

出版信息

Intern Med. 2008;47(3):161-4. doi: 10.2169/internalmedicine.47.0442. Epub 2008 Feb 1.

Abstract

In 2005, a 46-year-old woman consulted our department for an evaluation of a chest radiographic abnormality. She had undergone a successful living renal transplantation in 1999 after being treated by dialysis for four years. A chest computed tomographic scan revealed progressive bilateral fluffy, poorly defined small nodules and the bronchoscopic study revealed a unique linear and nodular lesion pattern. Based on the findings of these modalities, we confirmed the diagnosis of metaplastic pulmonary calcification. This is the first report of these bronchoscopic findings and submucosal calcification in a case of metastatic pulmonary calcification.

摘要

2005年,一名46岁女性因胸部X线异常前来我科就诊。她在接受了四年透析治疗后,于1999年成功接受了活体肾移植。胸部计算机断层扫描显示双侧出现进行性、模糊不清的絮状小结节,支气管镜检查发现了一种独特的线性和结节状病变模式。根据这些检查结果,我们确诊为化生型肺钙化。这是首例关于转移性肺钙化病例中这些支气管镜检查结果及黏膜下钙化的报告。

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