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[特发性肺含铁血黄素沉着症(2例临床病例)]

[Idiopathic pulmonary hemosiderosis (2 clinical cases)].

作者信息

Udrea E, Dancău N

出版信息

Rev Ig Bacteriol Virusol Parazitol Epidemiol Pneumoftiziol Pneumoftiziol. 1977 Jul-Sep;26(3):185-8.

PMID:201012
Abstract

The authors present two children with idiopathic pulmonary hemosiderosis, in whom the diagnosis was very difficult on the basis of evolution by stages, hypochromic anemia, hemoptoic sputum containing siderophages, cloudy pulmonary shadow and microscopical skin and lung examination that evidenced marked alterations of the elastic system and siderophages on pulmonary tissue preparations. All the clinical, hematologic and radiological signs were considerably improved by corticoid therapy. The necessity is stressed of such investigations in children with anemia.

摘要

作者介绍了两名患有特发性肺含铁血黄素沉着症的儿童,根据疾病分期演变、低色素性贫血、含铁血黄素巨噬细胞的咯血痰、肺部阴影以及皮肤和肺部显微镜检查(显示弹性系统有明显改变且肺组织切片中有含铁血黄素巨噬细胞),对这两名儿童进行诊断非常困难。皮质类固醇治疗使所有临床、血液学和放射学体征都有了显著改善。文中强调了对贫血儿童进行此类检查的必要性。

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