Boccon-Gibod L, Couvreur J
Ann Med Interne (Paris). 1979;130(11):501-6.
Needle biopsy was performed in 100 children with diffuse interstitial pneumopathy. Severe histological lesions were noted in the biopsy sections in 4 out 5 cases. Those most frequently observed (57 cases) were non-specific lesions of diffuse interstitial pneumopathy (DIP) or idiopathic fibrosis, the course of which was followed, in some cases, by repeating the biopsy. Specific lesions, especially idiopathic pulmonary hemosiderosis (8 cases), were noted in 22 children, either associated with interstitial fibrosis or apparently better tolerated. The other 16 cases included the lipoidoses (Niemann-Pick, histiocytosis X), alveolar microlithiasis, and some specific inflammatory diseases (tuberculosis, syphilis) or those related to inhalation of a foreign body.
对100例弥漫性间质性肺病患儿进行了经皮肺穿刺活检。5例中有4例在活检切片中发现严重的组织学病变。最常见的(57例)是弥漫性间质性肺病(DIP)或特发性纤维化的非特异性病变,在某些病例中,通过重复活检对其病程进行了跟踪。22例患儿发现了特异性病变,尤其是特发性肺含铁血黄素沉着症(8例),这些病变要么与间质纤维化相关,要么耐受性明显更好。其他16例包括类脂沉积症(尼曼-匹克病、组织细胞增多症X)、肺泡微石症以及一些特异性炎症性疾病(结核病、梅毒)或与吸入异物相关的疾病。