闭塞性细支气管炎伴机化性肺炎作为系统性红斑狼疮患者的初始表现。

Bronchiolitis obliterans organizing pneumonia as an initial manifestation in patients with systemic lupus erythematosus.

作者信息

Min J K, Hong Y S, Park S H, Park J H, Lee S H, Lee Y S, Kim H H, Cho C S, Kim H Y

机构信息

Department of Internal Medicine, Rheumatism Center of Kangnam St. Mary's Hospital, Catholic University Medical College, Seoul, Korea.

出版信息

J Rheumatol. 1997 Nov;24(11):2254-7.

PMID:9375894

Abstract

Diverse pleuropulmonary manifestations including diaphragmatic dysfunction, pleural effusion, acute lupus pneumonitis, pulmonary hemorrhage, pulmonary hypertension, and diffuse interstitial lung disease have been described in patients with systemic lupus erythematosus (SLE). Bronchiolitis obliterans organizing pneumonia (BOOP) as an initial manifestation of SLE is rarely reported. We describe 2 patients who had SLE concurrent with the onset of BOOP. Their respiratory symptoms, followup pulmonary function tests, and radiologic findings showed much improvement after steroid therapy.

摘要

系统性红斑狼疮（SLE）患者可出现多种胸膜肺部表现，包括膈肌功能障碍、胸腔积液、急性狼疮性肺炎、肺出血、肺动脉高压和弥漫性间质性肺疾病。闭塞性细支气管炎伴机化性肺炎（BOOP）作为SLE的初始表现鲜有报道。我们描述了2例并发BOOP的SLE患者。经类固醇治疗后，他们的呼吸道症状、后续肺功能测试及影像学表现均有明显改善。