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儿童迁移性持续性肺实变:一例滤泡性细支气管炎

Migrating persistent pulmonary consolidation in a child: A case of follicular bronchiolitis.

作者信息

Jeong Yeongsang, Bang Yong Hyun, Kim Yun-Kyung

机构信息

Department of Pediatrics, Korea University Ansan Hospital, Ansan, Republic of Korea.

出版信息

Pediatr Pulmonol. 2017 May;52(5):E22-E25. doi: 10.1002/ppul.23571. Epub 2016 Sep 18.

DOI:10.1002/ppul.23571
PMID:27640404
Abstract

Migrating pulmonary lesions in children are uncommon, and most are caused by eosinophilic lung disease and parasite, fungus, and tuberculosis infections. A 12-year-old boy was referred to our hospital because of an abnormal chest x-ray. Serial computed tomography scans performed over several months showed a migrating pulmonary consolidation in the left lung, although the patient remained asymptomatic. Finally, surgical biopsy was performed and follicular bronchiolitis was diagnosed. The consolidation disappeared 17 months later without treatment, and the patient has remained asymptomatic. Primary follicular bronchiolitis could be considered as one of the differential diagnosis in patients with pulmonary reticulo-nodular consolidation. It should also be noted that follicular bronchiolitis can migrate. Pediatr Pulmonol. 2017;52:E22-E25. © 2016 Wiley Periodicals, Inc.

摘要

儿童肺部迁移性病变并不常见,大多数由嗜酸性粒细胞性肺病以及寄生虫、真菌和结核感染引起。一名12岁男孩因胸部X光异常被转诊至我院。在几个月内进行的系列计算机断层扫描显示左肺有迁移性肺实变,尽管患者一直无症状。最后进行了手术活检,诊断为滤泡性细支气管炎。17个月后未经治疗实变消失,患者一直无症状。原发性滤泡性细支气管炎可被视为肺网状结节状实变患者的鉴别诊断之一。还应注意的是,滤泡性细支气管炎可发生迁移。《儿科肺科杂志》。2017年;52:E22 - E25。©2016威利期刊公司

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