[一名45岁吸烟女性的慢性咳嗽、胸膜炎性胸痛及盗汗]

[Chronic cough, pleuritic chest pain, and night sweats in a 45‑year-old female smoker].

作者信息

Gross A, Hortig P, Darb-Esfahani S, Schneider T

机构信息

Medizinische Klinik mit Schwerpunkt Gastroenterologie, Infektiologie und Rheumatologie, Charité - Universitätsmedizin Berlin, Campus Benjamin Franklin, Hindenburgdamm 30, 12200, Berlin, Deutschland.

Medizinische Klinik für Kardiologie und Pulmologie, Charité - Universitätsmedizin Berlin, Campus Benjamin Franklin, Berlin, Deutschland.

出版信息

Internist (Berl). 2016 Nov;57(11):1126-1131. doi: 10.1007/s00108-016-0105-z.

DOI:10.1007/s00108-016-0105-z

PMID:27456044

Abstract

A 45-year-old woman presented with chronic cough, pleuritic chest pain, and night sweat. High-resolution computed tomography revealed multiple bilateral nodular lesions in a centrilobular distribution, primarily located in the upper and mid lung zones with relative sparing of the lung bases. No lymphadenopathy or pleural effusions were detected. Histological analysis confirmed the suspected diagnosis of pulmonary Langerhans cell histiocytosis. After smoking cessation the patient recovered completely.

摘要

一名45岁女性出现慢性咳嗽、胸膜炎性胸痛和盗汗。高分辨率计算机断层扫描显示双侧多发小叶中心分布的结节性病变，主要位于肺上叶和中叶，肺底部相对 spared。未检测到淋巴结肿大或胸腔积液。组织学分析证实了疑似肺朗格汉斯细胞组织细胞增多症的诊断。戒烟后患者完全康复。