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呼吸困难的罕见病因:穆尼尔·库恩综合征。

A rare cause of dyspnea: Mounier Kuhn syndrome.

作者信息

El Oualladi Feryal, Labied Mohamed, Bouzid Ismail, Mountassir Chorouk, Lembarki Ghizlane, Sabiri Mouna, Lezar Samira

机构信息

Central Unit of Radiology, University Hospital Center Ibn Rochd, School of Medicine and Pharmacy of Casablanca, Hassan II University, Casablanca, Morocco.

出版信息

Radiol Case Rep. 2024 Dec 7;20(2):1268-1272. doi: 10.1016/j.radcr.2024.11.015. eCollection 2025 Feb.

Abstract

Mounier-Kuhn syndrome, also known as tracheobronchomegaly, is a rare clinical and radiological condition characterized by tracheobronchial dilatation and recurrent respiratory infections. Patients may be asymptomatic or present with severe respiratory illnesses. A CT scan is sufficient to confirm the diagnosis. Treatment is symptomatic, and surgery is rarely indicated. We present the case of a 55-year-old patient with a 30-year history of chronic dyspnea, who presented with worsening shortness of breath, a productive cough, and episodes of bronchial superinfection. A chest CT scan, performed before and after contrast injection during both inspiratory and expiratory phases, confirmed the diagnosis of Mounier-Kuhn syndrome. This case aims to raise awareness of this rare condition and highlights a presentation where dyspnea is the primary symptom.

摘要

穆尼耶-库恩综合征,也称为气管支气管巨大症,是一种罕见的临床和影像学病症,其特征为气管支气管扩张和反复呼吸道感染。患者可能无症状,或表现为严重的呼吸道疾病。计算机断层扫描(CT)足以确诊。治疗以对症治疗为主,很少需要手术治疗。我们报告一例55岁患者,有30年慢性呼吸困难病史,此次因呼吸急促加重、咳痰及支气管重复感染发作前来就诊。在吸气和呼气期注射造影剂前后均进行了胸部CT扫描,确诊为穆尼耶-库恩综合征。本病例旨在提高对这种罕见病症的认识,并突出以呼吸困难为主要症状的表现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3259/11665394/7c1d3c024dee/gr1.jpg

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