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題名 | Bronchiolitis Obliterans-Organizing Pneumonia--A Rare Presentation of Rheumatoid Arthritis with Lung Involvement: A Case Report and Literature Review=阻塞性細支氣管炎合併器質化肺炎--類風濕性關節炎的罕見肺部表現:病例報告及文獻回顧 |
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作者姓名(中文) | 高傳紘; 彭淑玲; 張漢煜; | 書刊名 | 胸腔醫學 |
卷期 | 29:5 2014.10[民103.10] |
頁次 | 頁287-291 |
分類號 | 415.46 |
關鍵詞 | 類風濕性關節炎; 阻塞性細支氣管炎合併器質化肺炎; 間質性肺疾; Rheumatoid arthritis; Bronchiolitis obliterans-organizing pneumonia; Interstitial lung disease; |
語文 | 英文(English) |
中文摘要 | 類風溼性關節炎有各種不同的肺部表現,這些表現在臨床上症狀上不具特異性,如阻塞性細支氣管炎合併器質化肺炎,常常需要靠開胸或胸腔鏡手術切片才能診斷。在此,我們報告一個類風溼性關節炎的病人,臨床上的表現是咳嗽跟喘,影像學檢查有毛玻璃狀陰影及肺泡型變化,抗生素治療無效後,經過胸腔鏡手術,證實是阻塞性細支氣管炎合併器質化肺炎。經過類固醇治療後,症狀及影像學上皆獲得改善。 |
英文摘要 | There are several manifestations of rheumatoid arthritis (RA) with lung involvement, including bronchiolitis obliterans-organizing pneumonia (BOOP). Diagnosis is usually difficult and open or thoracoscopic lung biopsy is often required. Herein, we report the case of a woman with rheumatoid arthritis who presented with dyspnea and cough. Chest X-ray (CXR) revealed abnormal infiltration and the clinical symptoms did not improve after antibiotics treatment. After thoracoscopic lung biopsy, BOOP was confirmed. Her symptoms and images improved with steroid treatment. |
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