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急性纤维素性机化性肺炎：影像学特征、病理相关性及文献简要综述

Acute fibrinous and organizing pneumonia: Imaging features, pathologic correlation, and brief literature review.

作者信息

Kim Ji Yeon, Doo Kyung Won, Jang Hang-Jea

机构信息

Department of Pathology, Inje University College of Medicine, Haeundae Paik Hospital, Haeundae-ro 875, Haeundae-gu, Busan 48108, Republic of Korea.

Department of Radiology, Inje University College of Medicine, Haeundae Paik Hospital, Haeundae-ro 875, Haeundae-gu, Busan 48108, Republic of Korea.

出版信息

Radiol Case Rep. 2018 Jun 30;13(4):867-870. doi: 10.1016/j.radcr.2018.04.028. eCollection 2018 Aug.

DOI:10.1016/j.radcr.2018.04.028
PMID:30174771
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6116343/
Abstract

Acute fibrinous and organizing pneumonia is a histopathologic entity of lung injury with the hallmark feature of intra-alveolar fibrin "balls." We report 2 cases of acute fibrinous and organizing pneumonia in patients without a significant medical history, who presented with cough and worsening dyspnea and experienced a fulminant course of disease progression with diffuse lung parenchymal abnormalities on chest computed tomography. These cases suggest that this rare histologic pattern of idiopathic interstitial pneumonias can be included in the differential diagnosis with other conditions leading to acute respiratory failure.

摘要

急性纤维素性机化性肺炎是一种肺损伤的组织病理学实体，其标志性特征为肺泡内纤维素“球”。我们报告2例无重大病史的急性纤维素性机化性肺炎患者，他们表现为咳嗽和进行性加重的呼吸困难，胸部计算机断层扫描显示弥漫性肺实质异常，病程呈暴发性进展。这些病例提示，这种特发性间质性肺炎的罕见组织学模式可纳入导致急性呼吸衰竭的其他疾病的鉴别诊断中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b9b/6116343/a81f36327980/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b9b/6116343/44cf49094773/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b9b/6116343/a81f36327980/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b9b/6116343/44cf49094773/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b9b/6116343/a81f36327980/gr2.jpg

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