Orti A, Grau A, Manresa J M, Sirvent J, Piñas I, Bofill D
Servicio de Medicina Interna, Hospital Virgen de la Cinta, Tortosa, Tarragona.
An Med Interna. 1993 Feb;10(2):77-9.
Tracheobronchial amyloidosis is the most frequent manifestation of pulmonary amyloidosis. We present the case of a patient who initially presented pneumonia with atelectasis in the upper right lobe (URL) and in whom the presence of nodular bodies in all the bronchial tree was detected with bronchoscopy, with almost complete obstruction of the URL bronchus, identified as amyloid AL. Therapy with laser photoresection was effective, with almost complete resolution of the obstruction.
气管支气管淀粉样变性是肺淀粉样变性最常见的表现形式。我们报告了一例患者,该患者最初表现为右上叶肺不张合并肺炎,支气管镜检查发现整个支气管树均有结节体,右上叶支气管几乎完全阻塞,确诊为AL型淀粉样变性。激光光凝切除术治疗有效,阻塞几乎完全缓解。