Usui M, Watanabe M, Hattori J, Horie K, Shima H
Department of Pneumology, Gifu Red Cross Hospital, Japan.
Nihon Kyobu Shikkan Gakkai Zasshi. 1993 Apr;31(4):501-5.
The patient was a 42-year-old man. When he was a third grade pupil of elementary school, he was diagnosed as having miliary tuberculosis. He was absent from school for 2 years for the treatment of the disease. However, miliary tuberculosis did not improve in spite of 2 years of treatment. At that time he was diagnosed as having pulmonary alveolar microlithiasis. He did not receive any treatment for the following 30 years. Recently, he visited our department because of occasional chest pain. The following tests were performed; chest CT, tomography, respiratory function test, RI test (99mTc bone scintigram and 67Ga scintigram) and bronchoscopy. Bronchoalveolar lavage (BAL) was performed of B5b, and transbronchial lung biopsy (TBLB) of left B5b, B8b, B9b and B10b to make the accurate diagnosis of pulmonary alveolar microlithiasis. This case of pulmonary alveolar microlithiasis with a protracted course of 30 years (in which chest X-ray films taken 27 years ago were available) is reported together with a discussion of the literature.
患者为一名42岁男性。他在小学三年级时被诊断为粟粒性肺结核。为此他休学两年进行治疗。然而，尽管经过两年治疗，粟粒性肺结核仍未见好转。当时他又被诊断为肺泡微石症。在接下来的30年里，他未接受任何治疗。最近，他因偶尔胸痛前来我科就诊。我们进行了以下检查：胸部CT、断层扫描、呼吸功能测试、放射性核素检查（99mTc骨闪烁造影和67Ga闪烁造影）以及支气管镜检查。对B5b进行了支气管肺泡灌洗（BAL），并对左肺B5b、B8b、B9b和B10b进行了经支气管肺活检（TBLB），以准确诊断肺泡微石症。本文报告了这例病程长达30年（可获取27年前的胸部X光片）的肺泡微石症病例，并结合文献进行了讨论。
