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抗真核生物翻译起始因子2B(eIF2B)抗体阳性系统性硬化症患者的间质性肺疾病:一例报告及文献综述

Interstitial lung disease in a patient with anti-eIF2B antibodies-positive systemic sclerosis: A case report and literature review.

作者信息

Aoshiba Naoya, Toriyama Kazutoshi, Yamashita Shohei, Shioiri Nao, Iwata Yuko, Uruma Tomonori, Abe Shinji, Tsushima Kenji

机构信息

Department of Respiratory Medicine, Tokyo Medical University Hachioji Medical Center, 1163, Tatemachi, Hachioji-shi, Tokyo, Japan.

Department of Respiratory Medicine, Tokyo Medical University Hospital, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo, Japan.

出版信息

Respir Med Case Rep. 2024 Nov 22;52:102141. doi: 10.1016/j.rmcr.2024.102141. eCollection 2024.

Abstract

We report the case of a 76-year-old male patient with systemic sclerosis positive for anti-eukaryotic initiation factor 2B (eIF2B) antibodies. He presented to our hospital with dyspnea on exertion and, following a comprehensive physical examination, was diagnosed with interstitial lung disease associated with systemic sclerosis. Furthermore, systemic sclerosis was positive for the anti-eIF2B antibody. The presence of anti-eIF2B antibodies in systemic sclerosis is very rare, occurring in only 1-2.5 % of cases and seldom reported. Similar to our case, systemic sclerosis with positive anti-eIF2B antibodies has been reported to be more likely to be complicated by interstitial lung disease. Herein, we discuss our case in detail and summarize the previous findings.

摘要

我们报告了一例76岁男性患者,其系统性硬化症抗真核起始因子2B(eIF2B)抗体呈阳性。他因劳力性呼吸困难前来我院就诊,经过全面体格检查后,被诊断为与系统性硬化症相关的间质性肺病。此外,系统性硬化症的抗eIF2B抗体呈阳性。系统性硬化症中抗eIF2B抗体的存在非常罕见,仅在1%-2.5%的病例中出现,且鲜有报道。与我们的病例相似,抗eIF2B抗体阳性的系统性硬化症据报道更易并发间质性肺病。在此,我们详细讨论我们的病例并总结先前的研究结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38d9/11626813/9115711245fb/gr1.jpg

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