Igarashi T, Nakagawa A, Nishino M, Murakami S, Ohouchi H, Koseki T, Yoshida Y, Hoshino H, Imai Y, Abe S
Department of Respiratory Medicine, Kushiro City General Hospital, Hokkaido, Japan.
Nihon Kyobu Shikkan Gakkai Zasshi. 1995 Oct;33(10):1125-9.
We encountered two cases in which pulmonary eosinophilic granuloma improved after cessation of smoking. The patient in case 1 was a 39-year-old woman. She smoked 10-15 cigarettes a day for 20 years. The patient in case 2 was a 19-year-old man. He smoked a pack of cigarettes a day for 5 years. CT revealed cystic lesions and small nodular lesions predominantly in the upper and middle lung fields. Diagnosis was made by thoracoscopic lung biopsy in case 1 and by transbronchial lung biopsy in case 2. After smoking cessation, symptoms, CT findings, and vital capacity of both patients improved remarkably. Smoking cessation may have been related to the improvement in these patients.
我们遇到了两例肺嗜酸性肉芽肿在戒烟后病情好转的病例。病例1的患者是一名39岁女性。她每天吸10至15支烟，持续了20年。病例2的患者是一名19岁男性。他每天吸一包烟，持续了5年。CT显示主要在上肺野和中肺野有囊性病变和小结节病变。病例1通过胸腔镜肺活检确诊，病例2通过经支气管肺活检确诊。戒烟后，两名患者的症状、CT表现和肺活量均有显著改善。戒烟可能与这些患者病情的改善有关。
