Jones Quentin Christopher, Wathen Christopher G
Department of Respiratory Medicine, High Wycombe Hospital, High Wycombe, Buckinghamshire, UK.
BMJ Case Rep. 2012 Sep 18;2012:bcr2012006775. doi: 10.1136/bcr-2012-006775.
A 59-year-old man presented with a 4-year history of productive cough, shortness of breath and wheeze. He had been treated for asthma and given several courses of antibiotics which improved his symptoms. Medical history was unremarkable. There was no history respiratory disease in childhood although he was prone to chest infections in adult life. A high-resolution chest CT showed marked proximal cystic bronchiectasis associated with collapse of distal bronchi on expiration. A diagnosis of cystic bronchiectasis due to undiagnosed adult Williams-Campbell syndrome was made on the basis of these characteristic radiological features and the exclusion of other possible causes.
一名59岁男性，有4年咳痰、气短和喘息病史。他曾接受哮喘治疗，并接受过多个疗程的抗生素治疗，症状有所改善。既往病史无特殊。儿童期无呼吸道疾病史，尽管他成年后易患胸部感染。高分辨率胸部CT显示明显的近端囊性支气管扩张，呼气时伴有远端支气管塌陷。根据这些特征性影像学表现并排除其他可能原因，诊断为未确诊的成人威廉姆斯-坎贝尔综合征所致的囊性支气管扩张。
