Zainudin B M, Ismail O
Department of Medicine, Faculty of Medicine, Universiti Sains Malaysia, Kuala Lumpur.
Singapore Med J. 1990 Dec;31(6):629-31.
A 44-year-old Indian housewife presented with prolonged cough, intermittent fever, loss of weight and shortness of breath on exertion. Physical examination revealed a thin lady with fine crackles on both lungs. Marked eosinophilia and elevated erythrocyte sedimentation rate were noted on peripheral blood. Chest radiograph showed characteristic bilateral infiltrates affecting the periphery of both lungs. Treatment with corticosteroid resulted in dramatic improvement in symptoms, signs and radiographic changes within a few days.
一名44岁的印度家庭主妇出现了长期咳嗽、间歇性发热、体重减轻和活动后气短的症状。体格检查发现该女士体型消瘦,双肺可闻及细湿啰音。外周血检查显示明显的嗜酸性粒细胞增多和红细胞沉降率升高。胸部X线片显示双侧肺部外周出现特征性浸润影。使用皮质类固醇进行治疗后,症状、体征及影像学改变在数天内有显著改善。