Usami I, Yamakoshi M, Kuroki H, Yamamoto T, Kawakami M, Kojima Y, Goto M
Department of Respiratory Disease, Asahi Rosai Hospital, Aichi, Japan.
Nihon Kyobu Shikkan Gakkai Zasshi. 1993 Feb;31(2):271-4.
A 32-year-old man was hospitalized due to right pneumothorax. Chest X-ray showed interstitial shadows predominantly in the upper and middle lung fields. Eosinophilic granuloma was diagnosed by transbronchial lung biopsy. He had a history of paraesthesia in the right arm for 6 months prior to the pneumothorax. Initially, head CT showed an iso-dense area enhanced with contrast medium in the left temporal lobe. Two weeks after the onset of paraesthesia, head CT showed an iso-dense lesion surrounded by low density area. Subjective symptoms disappeared in a month, and no abnormalities on head CT were seen at 2 months. It is highly suspected; therefore, that the present case of eosinophilic granuloma was associated with a brain lesion.
一名32岁男性因右侧气胸入院。胸部X线显示间质阴影主要位于肺上叶和中叶。经支气管肺活检诊断为嗜酸性肉芽肿。在气胸发生前6个月,他有右臂感觉异常的病史。最初,头部CT显示左侧颞叶有一个等密度区,增强扫描有强化。感觉异常发作两周后,头部CT显示一个等密度病灶被低密度区包围。一个月后主诉症状消失,两个月时头部CT未见异常。因此,高度怀疑本病例的嗜酸性肉芽肿与脑部病变有关。