Zieliński Michał, Hartleb Marek, Sitek Piotr, Ziora Dariusz
Department of Lung Diseases and Tuberculosis, School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia in Katowice, Poland, Koziolka 1, 41-803 Zabrze, Poland.
Adv Respir Med. 2017;85(6):339-344. doi: 10.5603/ARM.2017.0058.
This paper presents a case of a young patient with cyanosis and digital clubbing, until then an active, sporty person. He sought medical assistance due to the growing dyspnoea and the drop of effort tolerance. Initially the diagnostic process focused on the confirmation of the suspicion of pulmonary fibrosis or another interstitial lung disease as causes of the respiratory failure. Due to the atypical presentation of the symptoms, reaching the final diagnosis of digestive system disease with lung involvement required a more thorough multifaceted diagnostics of a number of systems and organs.
本文介绍了一名年轻患者的病例，该患者有发绀和杵状指，在此之前是一个活跃的运动型人士。由于进行性呼吸困难和运动耐力下降，他寻求医疗帮助。最初，诊断过程集中在确认怀疑的肺纤维化或其他间质性肺病是否为呼吸衰竭的原因。由于症状表现不典型，要最终诊断为累及肺部的消化系统疾病，需要对多个系统和器官进行更全面、多方面的诊断。
