Bramson R T, Cleveland R, Blickman J G, Kinane T B
Division of Pediatric Imaging, Massachusetts General Hospital, Boston 02114, USA.
AJR Am J Roentgenol. 1996 Jun;166(6):1447-50. doi: 10.2214/ajr.166.6.8633461.
The purpose of this study was to present the first radiographic description of a newly described disease in children, follicular bronchitis.
We retrospectively reviewed the medical history and radiographs of eight children with biopsy evidence of follicular bronchitis.
All eight infants had findings on initial radiographs that were consistent with viral inflammatory disease. The clinical features of follicular bronchitis started by 6-8 weeks old and peaked between about 2 and 3 years old. After several months of the disease, the infants' radiographs showed a more obvious interstitial pattern. When these children were approximately 3 years old, the radiographic findings began to return to normal. Four children have been followed up for at least 8 years. By that age, the clinical symptoms of respiratory disease have disappeared. All four children tested after they were 8 years old had abnormal results of pulmonary function tests.
The combination of unique clinical features associated with the radiographic appearances we describe should allow radiologists to suggest the diagnosis of follicular bronchitis.
本研究旨在首次对儿童新发现的疾病——滤泡性支气管炎进行影像学描述。
我们回顾性分析了8例经活检证实为滤泡性支气管炎患儿的病史及X线片。
所有8例婴儿最初的X线片表现均与病毒性炎症性疾病相符。滤泡性支气管炎的临床特征在6至8周龄开始出现，并在约2至3岁时达到高峰。患病数月后，婴儿的X线片显示出更明显的间质改变。当这些儿童约3岁时，影像学表现开始恢复正常。4例儿童至少随访了8年。到那个年龄时，呼吸系统疾病的临床症状已消失。所有4例8岁后接受检查的儿童肺功能测试结果均异常。
我们所描述的独特临床特征与影像学表现相结合，应能使放射科医生做出滤泡性支气管炎的诊断。
