一位 33 岁男性，咯血伴肾功能不全。

A 33-Year-Old Man With Hemoptysis and Renal Dysfunction.

机构信息

Departments of Respiratory Medicine, JR Tokyo General Hospital, Tokyo, Japan; Department of Respiratory Medicine, Yokohama Municipal Citizen's Hospital, Yokohama, Japan.

Department of Rheumatology, NTT Medical Center Tokyo, Tokyo, Japan.

出版信息

Chest. 2023 Oct;164(4):e93-e99. doi: 10.1016/j.chest.2023.05.018.

DOI:10.1016/j.chest.2023.05.018

PMID:37805253

Abstract

A 33-year-old man presented with a 10-day history of fever, dry cough, and dyspnea. He reported small amounts of frank hemoptysis that occurred several times a day for the past 3 days and a reduction in urine volume. There was no joint pain, skin rash, muscle weakness, or bleeding symptoms, except for the hemoptysis. He had a medical history of childhood asthma and untreated hypertension for the past 2 years. He had no history of smoking, recent travel, medication use, or occupational inhalation.

摘要

一位 33 岁男性，因发热、干咳和呼吸困难就诊，病程 10 天。他自述过去 3 天每天都会咳出少量鲜血，且每天数次，同时尿量减少。除了咯血，无关节痛、皮疹、肌肉无力或出血症状。他儿时患有哮喘，2 年来患有未经治疗的高血压，但无吸烟史、近期旅行史、用药史或职业性吸入史。