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以机化性肺炎为首发表现的原发性干燥综合征:一例报告

Organizing pneumonia as presenting feature of primary Sjögren's syndrome: A case report.

作者信息

Fernandez-Trujillo Liliana, Morales Eliana I, Arias Daniela, Zúñiga-Restrepo Valeria, Sua Luz F

机构信息

Department of Internal Medicine, Pulmonology Service, Fundación Valle del Lili, Cali, Colombia.

Faculty of Health Sciences, Universidad Icesi, Cali, Colombia.

出版信息

Respir Med Case Rep. 2023 Mar 8;42:101830. doi: 10.1016/j.rmcr.2023.101830. eCollection 2023.

Abstract

Sjögren's Syndrome (SS) is an autoimmune inflammatory disease, characterized by lymphocytic infiltration of exocrine glands. Approximately 10% of patients with SS have pulmonary involvement as the first manifestation of their disease, the most common being non-specific interstitial pneumonia. We present the case of a 51-year-old man with organizing pneumonia as the presenting feature of primary SS. Pulmonary involvement as the presenting feature of SS is uncommon, especially when the pattern on CT-scan is that of organized pneumonia. Initial management includes steroids and other immunosuppressants agents, with a better response in organized pneumonia secondary SS cases.

摘要

干燥综合征(SS)是一种自身免疫性炎症性疾病,其特征是外分泌腺淋巴细胞浸润。约10%的SS患者以肺部受累作为疾病的首发表现,最常见的是非特异性间质性肺炎。我们报告一例51岁男性,以机化性肺炎作为原发性SS的首发特征。SS以肺部受累作为首发特征并不常见,尤其是CT扫描表现为机化性肺炎时。初始治疗包括使用类固醇和其他免疫抑制剂,继发性SS伴机化性肺炎的病例反应较好。

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