炎症性肠病的肺表现:两个病例报告
Ayana Suzuki1, Rintaro Noro1, Jun Omori2
1Department of Respiratory Medicine, Nippon Medical School Hospital, Tokyo, Japan.
Respiratory medicine case reports
|September 18, 2023
概括
肺部卷入是炎症性肠病 (IBD) 的罕见表现,可以呈现为颗粒瘤或组织性肺炎. 在IBD患者中,这些肺部疾病可能不需要停止药物治疗或添加类固醇.
科学领域:
- 胃肠病学 胃肠病学
- 肺部病理学 肺部病理学
- 病理学 病理学 病理学
背景情况:
- 炎症性肠病 (IBD) 包括克罗恩病和性结肠炎.
- 肠外表现 (EIM) 的IBD是常见的,但肺部的参与是罕见的.
- 与IBD相关的肺病可以呈现出各种放射学和病理学发现.
研究的目的:
- 介绍IBD患者肺部感染的两个不同的病例.
- 突出IBD相关肺部疾病的诊断方法和管理考虑.
- 强调肺部表现可能并不总是需要治疗升级.
主要方法:
- 两名患有IBD (克罗恩病和性结肠炎) 的男性患者的病例报告.
- 诊断工作包括胸部成像 (计算机断层扫描),横支气管肺活检和正子发射断层扫描-计算机断层扫描 (FDG-PET).
- 综合临床,放射学和病理学发现的多学科评估.
主要成果:
- 案例1:一名53岁的克罗恩病患者出现了偶尔的肺结节阴影,在活检上被证实为颗粒瘤.
- 案例2:一名68岁的性结肠炎患者出现发烧和呼吸道症状,通过肺活检诊断出有组织性肺炎.
- 两名患者都被诊断出与IBD相关的肺部参与.
结论:
- 肺部卷入是IBD的一个罕见但显著的EIM.
- 诊断需要一个多学科的方法,结合成像和病理学.
- 在IBD中肺部表现可能不需要停止药物治疗或额外的免疫抑制疗法.
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