一位 61 岁男性，呼吸困难伴眼睛肿胀。

A 61-Year-Old Man With Shortness of Breath and Eye Swelling.

机构信息

Department of Medicine, Albany Medical College, Albany, NY.

Department of Pulmonary and Critical Care Medicine, Albany Medical Center, Albany, NY.

出版信息

Chest. 2023 May;163(5):e219-e222. doi: 10.1016/j.chest.2022.11.020.

DOI:10.1016/j.chest.2022.11.020

PMID:37164586

Abstract

A 61-year-old man presented to the pulmonary clinic with symptoms of dyspnea and productive cough for the last 6 months. Within the last 2 months, he started noticing bulging of his eyes associated with blurry vision. He denied hemoptysis, fever, night sweats, weight loss, skin rash, and dry eyes or mouth. He is a former smoker, and he denied any recent travel history. The patient has a history of microscopic polyangiitis, which was treated with cyclophosphamide and mycophenolate maintenance therapy and has been in remission for the last 7 years.

摘要

一位 61 岁男性因呼吸困难和咳嗽咳痰症状就诊于呼吸科，上述症状已持续 6 个月。在过去 2 个月中，他开始出现眼球突出，并伴有视物模糊。他否认咯血、发热、盗汗、体重减轻、皮疹、眼干或口干。患者为既往吸烟者，否认近期旅行史。患者曾患有显微镜下多血管炎，接受环磷酰胺和吗替麦考酚酯维持治疗，目前已缓解 7 年。