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一名长期接受透析治疗的患者发生与肺部透析相关的淀粉样变性并伴有肺部网状模糊影的病例。

A case of pulmonary dialysis-related amyloidosis with reticular opacity of the lung in a patient undergoing long-term dialysis.

作者信息

Sugiura Hidekazu, Nakayama Kayu, Takei Takashi, Tsuchiya Ken, Nitta Kosaku

机构信息

Department of Medicine, Kidney Center , Tokyo Women's Medical University , Tokyo , Japan.

出版信息

NDT Plus. 2011 Feb;4(1):39-41. doi: 10.1093/ndtplus/sfq196. Epub 2010 Nov 24.

Abstract

Dialysis-related amyloidosis (DRA) is one of the most important complications in long-term dialysis patients. Pulmonary involvement in patients with DRA has been rarely described, and lung radiographic findings have not yet been reported. The most common chronic lung disease process in chronic dialysis patients is interstitial fibrosis. This is the first case report of DRA presenting in the lung in a manner resembling interstitial pneumonia. This case study suggests that interstitial pneumonia as a result of DRA should be considered when dyspnoea and reticular opacity of the lung are observed in patients undergoing long-term dialysis.

摘要

透析相关性淀粉样变性(DRA)是长期透析患者最重要的并发症之一。DRA患者肺部受累的情况鲜有描述,肺部影像学表现也尚未见报道。慢性透析患者最常见的慢性肺部疾病进程是间质性纤维化。本文首次报道了1例以类似间质性肺炎的方式累及肺部的DRA病例。该病例研究提示,长期透析患者出现呼吸困难和肺部网状模糊影时,应考虑DRA所致间质性肺炎。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9593/4421645/aecba4bfa8f7/sfq196fig1.jpg

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