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相關文獻
- Hypersensitivity Pneumonitis with Recurrence--A Case Presentation and Review of the Literature
- Hypersensitivity Pneumonitis--A Case Report
- 病毒在過敏性肺炎的致病角色
- 過敏性肺炎之新觀
- Hypersensitivity Pneumonitis Presenting as Fever of Unknown Origin--A Case Presentation and Review of the Literature
- 過敏性肺炎
- 間質性肺病
- 過敏性肺炎(Hypersensitivity Pneumonitis)
- 職業性肺疾病簡介
- Methotrexate-Induced Hypersensitivity Pneumonitis in a Patient with Rheumatoid Arthritis--A Case Report
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題名 | Hypersensitivity Pneumonitis with Recurrence--A Case Presentation and Review of the Literature=過敏性肺炎--病例報告與文獻回顧 |
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作者姓名(中文) | 蔡蕙如; 楊靖慧; 張西川; 陳寬榮; 許衍道; 李榮興; | 書刊名 | 胸腔醫學 |
卷期 | 15:4 2000.12[民89.12] |
頁次 | 頁165-171 |
分類號 | 415.463 |
關鍵詞 | 過敏性肺炎; 外因性過敏性肺泡炎; Hypersensitivity pneumonitis; Extrinsic allergic alveolitis; |
語文 | 英文(English) |
中文摘要 | 過敏性肺炎,或外因性過敏性肺泡炎,是一種免疫反應性肺疾病。許多抗原可引起過敏性肺炎,包括微生物(黴菌、原蟲、細菌等)、動物性蛋白、昆蟲蛋白及某些低分子量無機化學物。臨床及病理上過敏性肺炎可分為三期:急性期、亞急性期及慢性期。急性期常表現發燒、咳嗽、全身不適等類似感冒的症狀。長期暴露在過敏抗原下(慢性期),可導致體重減輕與肺纖維化。適度的治療與蚿免暴露過敏原方可根治肺部發炎。持續性過敏原暴露可能導致瀰漫性不可逆的肺纖維化。 過敏性肺炎的診斷並無特殊的檢查方法。血清中存在對過敏原具特異抗體(precipitins)對診斷雖有幫助,但陰性反應並不能排除診斷。急性及亞急性期胸部影像檢查可呈現毛玻璃樣型態或細微顆粒影像;慢性期可見瀰漫性網狀結節浸潤及肺纖維。肺功能檢查通常呈現侷現型通氣障礙及肺瀰散量低下。肺部巨噬細胞被活化及抑制型淋巴球(CD8+lymphocyle)無法抑制活化型巨噬細胞,可能是導致過敏性肺炎發炎反應的免疫機轉。 |
英文摘要 | A 76-year-old farmer suffered from fever, general maiaise, and headache after the had trimmed the bushes near his farm. A chest radiograph revealed diffuse reticulonodular lesions, and thoracic high resolution computed tomography (HRCT) demonstrated patches of ground-glass opacity and reticulonodular centrilobular opacities. Based on the exposure history and HRCT findings, hypersensitivity pneumonitis was highly suspected. The symptoms subsided dramatically and the pulmonary infiltrates subsided gradually after corticosteroid prescription. Recurrence of hypersensitivity pneumonitis was noted two months after he had returned to his normal living and working environment. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。