Cordier J F, Kalb J C, Pidoux A, Loire R, Touraine R
Rev Fr Mal Respir. 1980;8(4):287-96.
A patient, 37 years old in 1966, presented hemoptysis and an excavated lesion of left upper lobe; there were no acid-fast bacilli in the sputum, but he was considered as having tuberculosis. After one year of treatment, the lesion had progressed and was removed surgically; pathologic diagnosis was silicosis. During the following years, three excavated lesions developed in the controlateral lung. When seen in 1979, the patient had consolidation of the whole right upper lobe and an excavated mass of right lower lobe. Amyloidosis was suggested; the pathologic sections of 1967 were reviewed and confirmed amyloidosis.
一名患者在1966年37岁时出现咯血及左上叶空洞性病变;痰中未发现抗酸杆菌,但他被诊断为患有肺结核。经过一年治疗,病变进展,遂行手术切除;病理诊断为矽肺。在随后的几年里,对侧肺出现了3个空洞性病变。1979年就诊时,患者右上叶完全实变,右下叶有一空洞性肿块。考虑为淀粉样变性;复查1967年的病理切片,确诊为淀粉样变性。