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患有艾滋病的儿童——能否根据胸部X光片做出病理诊断?

Children with AIDS--is pathologic diagnosis possible based on chest radiographs?

作者信息

Zimmerman B L, Haller J O, Price A P, Thelmo W L, Fikrig S

出版信息

Pediatr Radiol. 1987;17(4):303-7. doi: 10.1007/BF02388243.

DOI:10.1007/BF02388243
PMID:3601462
Abstract

In a review of the clinical, radiographic and pathologic data of 36 patients with AIDS we found 29 with pulmonary infections (Cytomegalic virus, Pneumocystis carinii, etc.) and 7 who had varying types of lymphocytic infiltration and interstitial changes on chest radiographs but did not have opportunistic infection. Pathologic diagnosis included lymphocytic interstitial pneumonitis, bronchus associated lymphoid tissue, chronic interstitial pneumonitis, desquamative interstitial pneumonitis and immunoblastic sarcoma. The chest X-rays were not predictive in making a specific diagnosis.

摘要

在对36例艾滋病患者的临床、影像学和病理数据进行回顾时,我们发现29例有肺部感染(巨细胞病毒、卡氏肺孢子虫等),7例胸部X线片有不同类型的淋巴细胞浸润和间质改变,但无机会性感染。病理诊断包括淋巴细胞间质性肺炎、支气管相关淋巴组织、慢性间质性肺炎、脱屑性间质性肺炎和免疫母细胞肉瘤。胸部X线片对做出特异性诊断并无预测价值。

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Children with AIDS--is pathologic diagnosis possible based on chest radiographs?患有艾滋病的儿童——能否根据胸部X光片做出病理诊断?
Pediatr Radiol. 1987;17(4):303-7. doi: 10.1007/BF02388243.
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引用本文的文献

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Radiographic patterns of PLH/LIP in HIV positive children.HIV阳性儿童中淋巴细胞间质性肺炎/肺淋巴细胞增生症的影像学表现
Pediatr Radiol. 1993;23(4):328-30. doi: 10.1007/BF02010931.
2
Pediatric HIV infection: an imaging update.小儿HIV感染:影像学最新进展
Pediatr Radiol. 1994;24(3):224-30. doi: 10.1007/BF02012201.
3
Pulmonary diseases in childhood AIDS.儿童艾滋病相关的肺部疾病

本文引用的文献

1
Pathology of suspected acquired immune deficiency syndrome in children: a study of eight cases.儿童疑似获得性免疫缺陷综合征的病理学:八例研究
Pediatr Pathol. 1984;2(1):71-87. doi: 10.3109/15513818409041189.
2
Benign lymphoid disorders of the lung, with a theory regarding their development.肺部良性淋巴组织疾病及其发病机制
Hum Pathol. 1983 Oct;14(10):857-67. doi: 10.1016/s0046-8177(83)80161-0.
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Acquired immunodeficiency syndrome in infants.婴儿获得性免疫缺陷综合征
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4
Severe cystic pulmonary disease associated with chronic Pneumocystis carinii infection in a child with AIDS.一名患艾滋病儿童中与慢性卡氏肺孢子虫感染相关的严重囊性肺部疾病。
Pediatr Radiol. 1994;24(8):606-8. doi: 10.1007/BF02012749.
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Pulmonary changes in congenital syphilis.先天性梅毒的肺部改变。
Pediatr Radiol. 1991;21(6):404-5. doi: 10.1007/BF02026670.
Am J Dis Child. 1983 Sep;137(9):825-7. doi: 10.1001/archpedi.1983.02140350003001.
4
Pathologic pulmonary findings in children with the acquired immunodeficiency syndrome: a study of ten cases.获得性免疫缺陷综合征患儿的肺部病理表现:10例研究
Hum Pathol. 1985 Mar;16(3):241-6. doi: 10.1016/s0046-8177(85)80009-5.
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Pulmonary disease in children with acquired immune deficiency syndrome and AIDS-related complex.获得性免疫缺陷综合征及艾滋病相关综合征患儿的肺部疾病
J Pediatr. 1986 Apr;108(4):498-503. doi: 10.1016/s0022-3476(86)80822-8.
6
Lymphadenopathy-associated virus isolated from bronchoalveolar lavage fluid in AIDS-related complex with lymphoid interstitial pneumonitis.从伴有淋巴样间质性肺炎的艾滋病相关综合征患者的支气管肺泡灌洗液中分离出的淋巴结病相关病毒。
N Engl J Med. 1985 Jul 18;313(3):183. doi: 10.1056/NEJM198507183130313.
7
Acquired immune deficiency syndrome in childhood.儿童获得性免疫缺陷综合征
J Pediatr. 1985 Feb;106(2):332-42. doi: 10.1016/s0022-3476(85)80320-6.
8
Opportunistic lymphoproliferations associated with Epstein-Barr viral DNA in infants and children with AIDS.
Lancet. 1985;2(8469-70):1390-3. doi: 10.1016/s0140-6736(85)92557-7.