Pellicone J T, Goldstein H B
Department of Medicine, Good Samaritan Hospital, Suffern, NY.
Chest. 1990 Nov;98(5):1292-4. doi: 10.1378/chest.98.5.1292.
A 64-year-old man presented with protracted fever, hyponatremia, and mononeuritis multiplex. Inappropriate antidiuretic hormone secretion was established. The absence of pulmonary infiltrates precluded any lung biopsy. Autopsy revealed malignant angioendotheliomatosis involving multiple organs including the alveolar septa and pulmonary vasculature. An early diagnosis of MAE in the setting of fever and SIADH may be possible via transbronchial biopsy.
一名64岁男性患者出现持续发热、低钠血症和多发性单神经炎。确诊为抗利尿激素分泌异常综合征。由于没有肺部浸润，无法进行肺活检。尸检显示恶性血管内皮瘤累及多个器官，包括肺泡间隔和肺血管系统。在发热和抗利尿激素分泌异常综合征的情况下，通过经支气管活检可能早期诊断恶性血管内皮瘤。
