Redondo A A, Ettensohn D B, Khan M, Kessimian N
Department of Medicine, Memorial Hospital of Rhode Island, Pawtucket.
Thorax. 1988 Dec;43(12):1019-21. doi: 10.1136/thx.43.12.1019.
A 65 year old woman with a history of occupational talc inhalation presented with hypoxaemia, cough, and dyspnoea with a normal chest radiograph. Bronchoalveolar lavage showed considerable lymphocytosis, with a predominance of T8+ T lymphocytes, and open lung biopsy showed peribronchiolar granulomas containing talc crystals. Corticosteroid treatment resulted in dramatic improvement. Bronchoalveolar lavage may aid in the diagnosis of talc related lung injury.
一名有职业性滑石粉吸入史的65岁女性，出现低氧血症、咳嗽和呼吸困难，胸部X线片正常。支气管肺泡灌洗显示淋巴细胞显著增多，以T8+ T淋巴细胞为主，开胸肺活检显示含有滑石粉晶体的支气管周围肉芽肿。皮质类固醇治疗取得显著改善。支气管肺泡灌洗可能有助于滑石粉相关肺损伤的诊断。
