完全性右肺发育不全伴支气管哮喘和变应性鼻炎。
Complete right lung agenesis presenting with bronchial asthma and allergic rhinitis.
作者信息
Kushwaha Ram Avadh Singh, Ranganath T G, Garg Rajiv, Anand Shipra
机构信息
Department of Pulmonary Medicine, CSM Medical University, Lucknow, Uttar Pradesh, India.
出版信息
BMJ Case Rep. 2012 Sep 21;2012:bcr0120125553. doi: 10.1136/bcr-01-2012-5553.
A 26 year-old lady presented with episodic breathlessness, chest tightness, recurrent nasal obstruction and excessive sneezing, mainly during change of season along with opacity of the right hemithorax on chest x-ray. Further detailed work-up including spirometry, high-resolution CT scan of the thorax and fibre-optic bronchoscopy confirmed complete right lung agenesis in patients with bronchial asthma and allergic rhinitis. Complete control of symptoms was achieved with formeterol 6 μg and mometasone 200 μg (via dry powder inhaler) and intranasal fluticasone 50 μg (nasal spray) 2 puffs twice daily and oral montelukast 10 mg with levocetirizine 5 mg once daily.
一名26岁女性出现发作性呼吸困难、胸闷、反复鼻塞和过度打喷嚏，主要在季节交替时出现，胸部X光显示右半胸不透明。进一步的详细检查，包括肺功能测定、胸部高分辨率CT扫描和纤维支气管镜检查，证实该患者患有支气管哮喘和过敏性鼻炎且右肺完全缺如。使用福莫特罗6微克和莫米松200微克（通过干粉吸入器）、每日两次、每次两喷鼻内使用氟替卡松50微克（鼻喷雾剂）以及每日一次口服孟鲁司特10毫克和左西替利嗪5毫克，症状得到了完全控制。
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