Fijołek Justyna, Wiatr Elzbieta, Błasińska-Przerwa Katarzyna, Roszkowski-Sliz Kazimierz
3rd Department of Lung Diseases, National Research Institute of Tuberculosis and lung Diseases, Warszawa, Poland.
Pol Arch Med Wewn. 2009 Nov;119(11):752-5.
Fibrosing mediastinitis (FM) is a rare benign disorder caused by proliferation of acellular collagen and fibrous tissue within the mediastinum. In the United States, most cases are thought to be caused by an abnormal immune response to Histoplasma capsulatum infection. Some cases of FM are related to tuberculosis. In most patients the cause of FM is unknown. The affected patients are typically young and present with signs and symptoms of obstruction or compression of the superior vena cava, pulmonary veins or arteries, central airways or esophagus. Computed tomography and magnetic resonance imaging are central to the diagnosis and management of this disorder. We present a rare case of FM as a sequela of tuberculosis.
纤维性纵隔炎（FM）是一种罕见的良性疾病，由纵隔内无细胞胶原蛋白和纤维组织增生引起。在美国，大多数病例被认为是由对荚膜组织胞浆菌感染的异常免疫反应所致。FM的一些病例与结核病有关。在大多数患者中，FM的病因不明。受影响的患者通常较为年轻，表现为上腔静脉、肺静脉或动脉、中央气道或食管梗阻或受压的体征和症状。计算机断层扫描和磁共振成像对于该疾病的诊断和管理至关重要。我们报告一例罕见的因结核病后遗症导致的FM病例。
