坏死性支气管曲霉病作为结节病咯血的一个病因

Necrotizing bronchial aspergillosis as a cause of hemoptysis in sarcoidosis.

作者信息

Fujimura M, Ishiura Y, Kasahara K, Amemiya T, Myou S, Hayashi Y, Watanabe Y, Takazakura E, Nonomura A, Matsuda T

机构信息

Third Department of Internal Medicine, Kanazawa University School of Medicine, Kanazawa City, Ishikawa, Japan.

出版信息

Am J Med Sci. 1998 Jan;315(1):56-8. doi: 10.1097/00000441-199801000-00010.

DOI:10.1097/00000441-199801000-00010

PMID:9427576

Abstract

The case history is presented of a patient with recurrent massive hemoptysis caused by necrotizing bronchial aspergillosis associated with sarcoidosis. The involved segments (right IX and X) were resected for treatment of the life-threatening hemoptysis. Histologic examination of the resected specimen confirmed the diagnosis. Necrotizing bronchial aspergillosis is a rare variant form of invasive pulmonary aspergillosis and has not been described previously as a cause of hemoptysis in sarcoidosis.

摘要

本文介绍了一例因结节病合并坏死性支气管曲霉病导致反复大量咯血的患者病例。为治疗危及生命的咯血，切除了受累肺段（右肺下叶和中叶）。切除标本的组织学检查证实了诊断。坏死性支气管曲霉病是侵袭性肺曲霉病的一种罕见变异形式，此前尚未被描述为结节病咯血的病因。