Bost M, Jeannoel P, Gout J P, Brambilla E, Rossignol A M, Jouk P S
Pediatrie. 1984 Jun;39(4):253-60.
Four cases of extrinsic allergic alveolitis are reported. About them, we discuss: The difficulties of diagnosis that we can only affirm on the association of several clinical, biological, and radiological arguments. The physiopathology: association of immune complex hypersensitivity type III and immediate hypersensitivity type I. It's important to always search for a probable starting infectious factor (mycoplasma). The therapy: antigenic exclusion is the only way to avoid a lung fibrosis.
报告了4例外源性过敏性肺泡炎病例。关于这些病例,我们讨论:诊断的困难之处在于只能通过综合多种临床、生物学和放射学依据来确诊。病理生理学:Ⅲ型免疫复合物超敏反应与Ⅰ型速发型超敏反应的联合。始终寻找可能的起始感染因素(支原体)很重要。治疗方法:抗原排除是避免肺纤维化的唯一方法。