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一种治疗过敏性肺炎的敏感方法。

A Sensitive Approach to Managing Hypersensitivity Pneumonitis.

作者信息

Ahlawat Prashant, Upadhyay Prateek, Madaan Prateek

机构信息

General Medicine, Government Medical College & Hospital, Chandigarh, IND.

Anaesthesiology, Government Medical College & Hospital, Chandigarh, IND.

出版信息

Cureus. 2022 Sep 29;14(9):e29738. doi: 10.7759/cureus.29738. eCollection 2022 Sep.

DOI:10.7759/cureus.29738
PMID:36340528
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9621725/
Abstract

Hypersensitivity pneumonitis (HP), also known as extrinsic allergic alveolitis, is an immunologically mediated disorder that typically presents as a case of interstitial lung disease (ILD) in response to any identified or unidentified antigen. We present a case of a 46-year-old female with HP, who presented with fever and shortness of breath. Although negative by real-time reverse transcription-polymerase chain reaction (RT-PCR), her condition was initially diagnosed as COVID-19 clinically as a result of anchoring bias due to similar symptoms and radiologic features presenting in the pandemic. A detailed further probing into history revealed the diagnosis of HP due to cat hair, and hence, was managed accordingly.

摘要

过敏性肺炎(HP),也称为外源性过敏性肺泡炎,是一种免疫介导的疾病,通常表现为间质性肺疾病(ILD),由任何已识别或未识别的抗原引起。我们报告一例46岁患有HP的女性病例,她表现出发热和呼吸急促。尽管实时逆转录聚合酶链反应(RT-PCR)结果为阴性,但由于大流行期间出现的类似症状和放射学特征导致的锚定偏差,她的病情最初在临床上被诊断为COVID-19。进一步详细询问病史后发现是由于猫毛引起的HP,因此进行了相应的治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea9b/9621725/04e2ae32f54c/cureus-0014-00000029738-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea9b/9621725/5240efb24d85/cureus-0014-00000029738-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea9b/9621725/4affc502e7c1/cureus-0014-00000029738-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea9b/9621725/593b1cacdd99/cureus-0014-00000029738-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea9b/9621725/04e2ae32f54c/cureus-0014-00000029738-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea9b/9621725/5240efb24d85/cureus-0014-00000029738-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea9b/9621725/4affc502e7c1/cureus-0014-00000029738-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea9b/9621725/593b1cacdd99/cureus-0014-00000029738-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea9b/9621725/04e2ae32f54c/cureus-0014-00000029738-i04.jpg

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本文引用的文献

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You Only Find What You Look for: Anchor Bias During the COVID-19 Pandemic.你只会找到你所寻找的:新冠疫情期间的锚定偏差。
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Immunopathology, diagnosis, and management of hypersensitivity pneumonitis.过敏性肺炎的免疫病理学、诊断和治疗。
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