Yokomura Koshi, Matsushima Sayomi, Oyama Yoshiyuki, Kusagaya Hideki, Yasui Hideki, Matsui Takashi, Matsuda Hiroyuki, Nakano Yutaka, Suda Takafumi, Chida Kingo
Department of Respiratory Medicine, Seirei Mikatahara Hospital, Japan.
Arerugi. 2009 Oct;58(10):1441-6.
We report two cases of pneumonitis caused by Seishinrenshiin. A 54-year-old woman and a 80-year-old man had taken Seishinrenshiin for cystitis and benign prostatic hypertrophy. Their chest radiograph showed diffuse ground-glass shadows in the whole lung fields and chest CT showed diffuse ground-glass-opacities predominantly in the lower lung fields of both lungs. Biochemical tests revealed mild liver dysfunction and inflammatory reactions. Their abnormal chest shadows disappeared after discontinuation of Seishinrenshiin. We should be aware that Seishinrenshiin, as well as other Chinese herbal medicine, could be cause of drug-induced pneumonitis.
我们报告两例由细辛人参引起的肺炎病例。一名54岁女性和一名80岁男性因膀胱炎和良性前列腺增生服用了细辛人参。他们的胸部X光片显示全肺野弥漫性磨玻璃影,胸部CT显示两肺下肺野为主的弥漫性磨玻璃样混浊。生化检查显示轻度肝功能障碍和炎症反应。停用细辛人参后,他们异常的胸部阴影消失。我们应该意识到,细辛人参以及其他中药都可能是药物性肺炎的病因。