Matsuse H, Watanabe T, Fujiwara C, Takao A, Tomonaga H, Inuyama M, Shimoda T, Kohno S, Asai S, Hara K
Second Department of Internal Medicine, Nagasaki University School of Medicine, Japan.
Nihon Kyobu Shikkan Gakkai Zasshi. 1994 Sep;32(9):836-42.
Six cases of allergic bronchopulmonary aspergillosis (ABPA) were evaluated. In four cases, diagnosis and steroid therapy were delayed, which resulted in irreversible pulmonary dysfunction. The important points for early diagnosis were: (1) Differentiation from pulmonary tuberculosis, (2) the presence of bronchial asthma was not essential for diagnosis, and (3) fungi other than Aspergillus fumigatus might cause this syndrome.
对6例变应性支气管肺曲霉病（ABPA）患者进行了评估。其中4例患者的诊断和类固醇治疗被延误，导致了不可逆的肺功能障碍。早期诊断的要点为：（1）与肺结核相鉴别；（2）支气管哮喘并非诊断的必要条件；（3）除烟曲霉外的其他真菌也可能导致该综合征。
