Shrestha Shrijan, Rai Pragya, Kayastha Gyan
Department of Medicine Patan Academy of Health Sciences, School of Medicine Lalitpur Nepal.
Clin Case Rep. 2024 Dec 26;13(1):e70026. doi: 10.1002/ccr3.70026. eCollection 2025 Jan.
This article highlights the critical importance of identifying the classic triad of hemoptysis, anemia, and diffuse pulmonary infiltrates, offering clinicians a structured approach for the timely diagnosis and management of the diffuse alveolar hemorrhage in setting of GPA. Post-intubation HRCT findings revealed diffuse patchy ground glass opacities in both lungs, along with right lobar consolidation showing liquefaction and an air-fluid level.
本文强调了识别咯血、贫血和弥漫性肺浸润这一经典三联征的至关重要性,为临床医生提供了一种结构化方法,以便在肉芽肿性多血管炎(GPA)背景下及时诊断和管理弥漫性肺泡出血。插管后的高分辨率CT(HRCT)结果显示双肺弥漫性斑片状磨玻璃影,同时右肺叶实变伴有液化和液气平面。