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气胸作为“无哮喘的变应性支气管肺曲霉菌病”的首发表现

Pneumothorax as first presentation of 'ABPA sans asthma'.

作者信息

Chopra Preeyati, Suares Rhea S, Deshwal Rishabh, Garg Kranti

机构信息

Government Medical College, Patiala, Punjab, India.

Department of Pulmonary Medicine, Government Medical College, Patiala, Punjab, India.

出版信息

Lung India. 2025 Mar 1;42(2):155-158. doi: 10.4103/lungindia.lungindia_466_24. Epub 2025 Feb 27.

DOI:10.4103/lungindia.lungindia_466_24
PMID:40013637
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11952733/
Abstract

In patients with severe asthma with allergic bronchopulmonary aspergillosis (ABPA), a variety of radiological manifestations are seen. Pleural involvement is rare, and a very few case reports of secondary spontaneous pneumothorax have been reported in the literature. Here, we report an even rarer case of secondary spontaneous pneumothorax in a patient of ABPA 'without asthma'.

摘要

在患有重度哮喘合并变应性支气管肺曲霉病(ABPA)的患者中,可见多种放射学表现。胸膜受累罕见,文献中仅有极少数关于继发性自发性气胸的病例报告。在此,我们报告1例更为罕见的“无哮喘”ABPA患者发生继发性自发性气胸的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb15/11952733/d131f677f1ad/LI-42-155-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb15/11952733/0787bad2df83/LI-42-155-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb15/11952733/5ba10a3207eb/LI-42-155-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb15/11952733/d131f677f1ad/LI-42-155-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb15/11952733/0787bad2df83/LI-42-155-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb15/11952733/5ba10a3207eb/LI-42-155-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb15/11952733/d131f677f1ad/LI-42-155-g003.jpg

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本文引用的文献

1
Revised ISHAM-ABPA working group clinical practice guidelines for diagnosing, classifying and treating allergic bronchopulmonary aspergillosis/mycoses.修订的 ISHAM-ABPA 工作组临床实践指南,用于诊断、分类和治疗变应性支气管肺曲霉病/真菌病。
Eur Respir J. 2024 Apr 4;63(4). doi: 10.1183/13993003.00061-2024. Print 2024 Apr.
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Long-term risk of pneumothorax in asthmatic children: A 12-year population-based cohort study.哮喘儿童气胸的长期风险:一项基于人群的 12 年队列研究。
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Allergic bronchopulmonary aspergillosis.
变应性支气管肺曲霉病。
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Med Mycol Case Rep. 2019 Jul 5;25:29-31. doi: 10.1016/j.mmcr.2019.07.003. eCollection 2019 Sep.
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Allergic bronchopulmonary aspergillosis (ABPA) sans asthma: A distinct subset of ABPA with a lesser risk of exacerbation.无哮喘的变应性支气管肺曲霉病(ABPA):ABPA的一个独特亚组,病情加重风险较低。
Med Mycol. 2020 Feb 1;58(2):260-263. doi: 10.1093/mmy/myz051.
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Spontaneous pneumothorax in allergic bronchopulmonary aspergillosis.变应性支气管肺曲霉病中的自发性气胸
Arch Intern Med. 1984 Jan;144(1):151-2.