酷似特发性间质性肺炎且无纵隔淋巴结肿大的肺泡型结节病
Alveolar Sarcoidosis Mimicking Idiopathic Interstitial Pneumonia Without Mediastinal Lymphadenopathy.
作者信息
Kanasaki Hiroki, Enomoto Noriyuki, Tanaka Yuko, Kojima Suguru, Morikawa Keisuke, Nakai Shogo, Yazawa Shusuke, Mochizuka Yasutaka, Inoue Yusuke, Yasui Hideki, Hozumi Hironao, Suzuki Yuzo, Karayama Masato, Furuhashi Kazuki, Fujisawa Tomoyuki, Inui Naoki, Ishigaki Sayaka, Ohashi Naro, Enomoto Yasunori, Baba Satoshi, Tabata Kazuhiro, Johkoh Takeshi, Suda Takafumi
机构信息
Second Division, Department of Internal Medicine Hamamatsu University School of Medicine Hamamatsu Japan.
Health Administration Centre Hamamatsu University School of Medicine Hamamatsu Japan.
出版信息
Respirol Case Rep. 2025 Jul 16;13(7):e70278. doi: 10.1002/rcr2.70278. eCollection 2025 Jul.
We present a case of alveolar sarcoidosis showing lower lobe-predominant areas of airspace consolidation and ground-glass attenuation on HRCT, mimicking idiopathic interstitial pneumonia (IIP) with spontaneous wandering. Mediastinal lymphadenopathy and uveitis were negative. Surgical lung biopsy revealed multiple non-necrotising granulomas. Alveolar sarcoidosis that mimics IIP without mediastinal lymphadenopathy is rare.
我们报告一例肺泡型结节病，高分辨率计算机断层扫描（HRCT）显示下叶为主的气腔实变和磨玻璃影区域，类似特发性间质性肺炎（IIP）伴游走性表现。纵隔淋巴结肿大和葡萄膜炎检查均为阴性。手术肺活检显示多个非坏死性肉芽肿。肺泡型结节病模拟无纵隔淋巴结肿大的IIP情况罕见。
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