Mana F, Mets T, Vincken W, Sennesael J, Vanwaeyenbergh J, Goossens A
Division of Geriatrics, Academic Hospital, Free University of Brussels, Belgium.
Chest. 1993 Aug;104(2):642-4. doi: 10.1378/chest.104.2.642.
An 83-year-old woman with histologically confirmed Hunner's cystitis presented with persistent fever, progressive dyspnea, and pulmonary patchy infiltrates. A transbronchial biopsy specimen revealed bronchiolitis obliterans organizing pneumonia. She progressively had development of renal insufficiency, due to systemic lupus erythematosus, proved by renal biopsy specimen. She recovered under corticosteroid treatment, but irreversible renal failure made long-term hemodialysis necessary.
一名83岁经组织学确诊为Hunner膀胱炎的女性,出现持续发热、进行性呼吸困难及肺部斑片状浸润。经支气管活检标本显示为闭塞性细支气管炎伴机化性肺炎。肾活检标本证实,她因系统性红斑狼疮逐渐出现肾功能不全。她在皮质类固醇治疗下康复,但不可逆的肾衰竭使长期血液透析成为必要。