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一名青少年气道扁平血管瘤被误诊为难治性哮喘。

Airways flat angioma misdiagnosed as difficult asthma in an adolescent.

作者信息

Bodini Alessandro, Tenero Laura, Pecoraro Luca, Salvottini Chiara, Piazza Michele, Piacentini Giorgio

机构信息

Department of Surgical Sciences, Dentistry, Gynecology and Pediatrics, Pediatric Division, University of Verona, Verona, Italy.

Department of Medicine, University of Verona, Verona, Italy.

出版信息

Respir Med Case Rep. 2020 Dec 14;32:101323. doi: 10.1016/j.rmcr.2020.101323. eCollection 2021.

Abstract

A 15 years-old boy came to our attention with a diagnosis of poorly controlled asthma. This case required thorough investigations: CT scan imaging revealed a flat angioma extending from the carina to the left main bronchus. Rigid bronchoscopy confirmed the presence of an angioma showing widespread mucosal diffusion involving most of the posterior tracheal wall and main bronchi, on the left side. We present this case report and these images to readers seeking for other experiences in the diagnosis of wide superficial bronchial angioma in pediatric age.

摘要

一名15岁男孩因哮喘控制不佳前来就诊。该病例需要进行全面检查:CT扫描显示一个扁平血管瘤从隆突延伸至左主支气管。硬质支气管镜检查证实存在血管瘤,表现为广泛的黏膜扩散,累及左侧大部分气管后壁和主支气管。我们将此病例报告及这些影像呈现给寻求小儿广泛浅表支气管血管瘤诊断经验的读者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95b3/7750410/2c77fd908ba8/gr1.jpg

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