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[急性嗜酸性粒细胞性肺炎:一例报告及文献复习]

[Acute eosinophilic pneumonia: presentation of a case and review of the literature].

作者信息

Riestra A, Fernández-Miera M F, Zurbano F, Hazas J, Sanromá P

机构信息

Unidad de Hospitalización Domiciliaria, Hospital Universitario Marqués de Valdecilla, Santander.

出版信息

An Med Interna. 1995 Oct;12(10):495-7.

PMID:8519940
Abstract

Pulmonary eosinophilias are characterized by the appearance of lung infiltrates by eosinophils and the presence, commonly, of peripheral blood eosinophilia. Among idiopathic pulmonary eosinophilias, with no evidence of any cause or underlying disease, chronic eosinophilic pneumonia is the most characteristic. Recently, there has been described a few cases of eosinophilic pneumonia with many similarities to chronic eosinophilic pneumonia but with a shorter clinical course, a very good response to corticoid therapy, and without tendency to relapse. This process has been named acute eosinophilic pneumonia. We present a case of this entity and review the literature, emphasizing on the potential severity of this disease, which often conduce to progressive respiratory failure, and its excellent prognosis after appropriate treatment.

摘要

肺嗜酸性粒细胞增多症的特征是肺内出现嗜酸性粒细胞浸润,通常外周血也有嗜酸性粒细胞增多。在无任何病因或潜在疾病证据的特发性肺嗜酸性粒细胞增多症中,慢性嗜酸性粒细胞性肺炎最为典型。最近,有几例嗜酸性粒细胞性肺炎被描述,它们与慢性嗜酸性粒细胞性肺炎有许多相似之处,但临床病程较短,对皮质激素治疗反应非常好,且无复发倾向。这个过程被命名为急性嗜酸性粒细胞性肺炎。我们报告一例该疾病,并回顾文献,强调该疾病的潜在严重性,它常导致进行性呼吸衰竭,以及经适当治疗后其良好的预后。

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