高分辨率计算机断层扫描结果显示的变应性肉芽肿性血管炎与慢性嗜酸性粒细胞性肺炎的对比

Churg-Strauss syndrome versus chronic eosinophilic pneumonia on high-resolution computed tomographic findings.

作者信息

Furuiye Masashi, Yoshimura Nobuyuki, Kobayashi Akiko, Tamaoka Meiyo, Miyazaki Yasunari, Ohtani Yoshio, Miyake Shuji, Inase Naohiko, Yoshizawa Yasuyuki

机构信息

Department of Integrated Pulmonology, Tokyo Medical and Dental University, Tokyo, Japan.

出版信息

J Comput Assist Tomogr. 2010 Jan;34(1):19-22. doi: 10.1097/RCT.0b013e3181ae2949.

DOI:10.1097/RCT.0b013e3181ae2949

PMID:20118716

Abstract

OBJECTIVES

The aim of this study was to compare the high-resolution computed tomographic findings between Churg-Strauss syndrome (CSS) and chronic eosinophilic pneumonia (CEP).

METHODS

We retrospectively reviewed the clinical records of 16 patients with CSS and 34 patients with CEP.

RESULTS

Twelve (35%) of the 34 patients with CEP had a history of asthma. Although the subpleural distribution of ground-glass opacities (GGOs) and consolidation was common both in CSS and CEP, the midzone distribution was more frequent in CSS (44%) than in CEP (12%). Centrilobular nodules within GGOs were significantly more frequent in CSS (56%) than in CEP (18%). In contrast, traction bronchiectasis associated with volume loss was demonstrated more frequently in CEP (74%) than in CSS (25%).

CONCLUSIONS

On high-resolution computed tomography, the presence of the midzone distribution and nodules within GGOs without traction bronchiectasis suggests CSS rather than CEP.

摘要

目的

本研究旨在比较变应性肉芽肿性血管炎（CSS）和慢性嗜酸性粒细胞性肺炎（CEP）的高分辨率计算机断层扫描结果。

方法

我们回顾性分析了16例CSS患者和34例CEP患者的临床记录。

结果

34例CEP患者中有12例（35%）有哮喘病史。虽然磨玻璃影（GGOs）和实变的胸膜下分布在CSS和CEP中都很常见，但中区分布在CSS（44%）中比在CEP（12%）中更常见。GGOs内的小叶中心结节在CSS（56%）中比在CEP（18%）中明显更常见。相反，与体积缩小相关的牵拉性支气管扩张在CEP（74%）中比在CSS（25%）中更常见。