Gasior Grzegorz, Barczyk Adam, Drozdzowska Bogna, Pierzchała Władysław
Katedra i Klinika Pneumonologii Slaskiego Uniwersytetu Medycznego w Katowicach.
Pneumonol Alergol Pol. 2008;76(3):186-91.
The idiopathic interstitial pneumonias are a heterogeneous group of diseases that have similar clinical symptoms. The new classification is based mainly on differences in histologic patterns, however high-resolution computed tomography is a significant tool that helps in making a firm diagnosis. Desquamative interstitial pneumonia is relatively rare form idiopathic interstitial pneumonia. It affects mainly men in their fourth or fifth decade of life who have a history of smoking. We report a case of 50-years-old man admitted to hospital for further diagnosis of prolonged bilateral pneumonia. His main complaints were fatigue, productive cough and subfebrile body temperature. Having performed additional diagnostic procedures including videothoracoscopy, what was in accordance with contemporary guidelines, we achieved a final diagnosis of desquamative interstitial pneumonia. Treatment with systemic corticosteroids resulted in disease remission.
特发性间质性肺炎是一组具有相似临床症状的异质性疾病。新的分类主要基于组织学模式的差异,然而高分辨率计算机断层扫描是有助于做出明确诊断的重要工具。脱屑性间质性肺炎是特发性间质性肺炎中相对罕见的一种形式。它主要影响40或50多岁有吸烟史的男性。我们报告一例50岁男性因双侧肺炎迁延不愈入院进一步诊断。他的主要症状是乏力、咳痰和低热。按照当代指南进行了包括电视胸腔镜检查在内的额外诊断程序后,我们最终诊断为脱屑性间质性肺炎。全身用皮质类固醇治疗使病情缓解。