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肺铁末沉着症患者发生中风:一种不寻常的关联。

Stroke in a Patient With Pulmonary Siderosis: An Unusual Association.

作者信息

Dhadwad Jagannath S, Modi Kunal, Panchal Janvi, Yadav Prince R, Dash Chandan

机构信息

Internal Medicine, Dr. D.Y. Patil Medical College, Hospital and Research Centre, Pune, IND.

General Internal Medicine, Dr. D.Y. Patil Medical College, Hospital and Research Centre, Pune, IND.

出版信息

Cureus. 2024 Sep 1;16(9):e68360. doi: 10.7759/cureus.68360. eCollection 2024 Sep.

Abstract

Occupational lung diseases are a major hazard, which can lead to severe complications and a worsening quality of life. Out of these diseases, pulmonary siderosis was considered an innocuous disease. We detail the case of a 42-year-old man who had a history of chronic exposure to ferrous fumes due to his occupation. He presented with breathlessness and symptoms of a stroke. CT imaging studies showed an ischemic infarct in the brain and changes suggestive of interstitial lung disease in the chest, which was eventually diagnosed as pulmonary siderosis. In spite of having no comorbidities and significant past history, the patient developed a debilitating condition most likely as a consequence of the underlying lung pathology. We want to highlight the importance of early detection and proper management of interstitial lung diseases.

摘要

职业性肺病是一种重大危害,可导致严重并发症并使生活质量恶化。在这些疾病中,肺铁末沉着症曾被认为是一种无害的疾病。我们详细介绍一名42岁男性的病例,他因职业原因有长期接触亚铁烟雾的病史。他出现了呼吸困难和中风症状。CT影像学检查显示脑部有缺血性梗死,胸部有提示间质性肺病的改变,最终被诊断为肺铁末沉着症。尽管该患者没有合并症且既往病史不显著,但很可能由于潜在的肺部病变而发展为一种使人衰弱的疾病。我们想强调早期发现和妥善管理间质性肺病的重要性。

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