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題 名 | Chronic Eosinophilic Pneumonia--A Case Report=慢性嗜伊紅白血球性肺炎--病例報告 |
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作 者 | 陳俊民; 吳莘華; 黃枝梅; 張開明; 江自得; | 書刊名 | 胸腔醫學 |
卷 期 | 16:2 2001.06[民90.06] |
頁 次 | 頁143-147 |
分類號 | 415.463 |
關鍵詞 | 嗜伊紅白血球性肺炎; Eosinophilic pneumonia; |
語 文 | 英文(English) |
中文摘要 | 慢性嗜伊紅白血球性肺炎為一罕見疾病,堂徵為持續一個月以上之全身(發燒,倦怠,體重減輕,厭食)和肺部(咳嗽,喘鳴,多痰)症狀,肺部伊紅性血球洟潤,以及對類固醇治療有快速反應。本文描述一位73歲男性病人,因發燒,乾咳,體重咨輕及呼吸困難約2個月而由其他醫院轉診至本院。入院時之胸部x光呈現右下肺野邊緣性浸潤。實驗室檢查發現伊紅性血球增多(460/cumm),血清IgE上升上升(618 IU/ml)。胸部電腦斷層掃瞄顯示無?氣管擴張,?氣管肺泡灌洗呈現15%之伊紅性血球,胸腔鏡肺部組織病理檢查證實為慢性嗜低紅性白血球肺炎。投予每日40mg之prednisolone48小時後病人病狀改善,1週後胸部x光浸潤消退。 |
英文摘要 | Chronic eosinophilic pneumonia (CEP) is a rare disease. It is characterized by profound systemic symptoms (fever, malaise, weight loss, and anorexia), localized pulmonary manifestations (cough, wheeze with sputum) lasting more than one month, pulmonary infiltrates with eosinophils, and a dramatic response to corticosteroid therapy. We describe a 73-year-old male patient who was referred from a local hospital after 2 months of fever, dry cough, weight loss, and progressive dyspnea. His chest radiograph at admission showed pulmonary infiltrates, predominantly in the periphery of the lower right lung. Laboratory data revealed mild blood eosinophilia (460/cumm). A computed tomography of the chest did not reveal bronchiectasis. Cells from the bronchoalveolar lavage contained 15% eosinophils. A thoracoscopic biopsy showed organizing pneumonia with eosinophilic infiltrations. Under the diganosis of CEP, prednisolone 40 mg per day was given. This treatemtn led to defervescence, reduced dyspnea within 48 hours, and radiographic improvement after 1 week. |
本系統中英文摘要資訊取自各篇刊載內容。