患有慢性阻塞性肺部疾病病史的老年患者肺部参与的埃索诺菲利亚
Pitchaporn Yingchoncharoen1, Jerapas Thongpiya1, Mahmoud Abdelnabi1
1Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, TX, USA.
Journal of community hospital internal medicine perspectives
|October 23, 2023
概括
肺性埃索诺菲利亚是一种具有高埃索诺菲尔数量和肺部问题的疾病,需要系统诊断. 这一案例突出显示了COPD患者对异常慢性色素型肺炎的成功皮质类固醇治疗.
科学领域:
- 肺部医学 肺部医学
- 血液学 血液学 血液学
- 免疫学 免疫学 免疫学
背景情况:
- 肺部受影响的埃索诺菲利亚表现为周围血液中埃索诺菲尔升高 (>500细胞/毫米3),非特异性肺部症状和放射性发现.
- 由于这些疾病之间重叠的临床,实验室和放射学特征,出现了诊断挑战.
- 系统的诊断方法对于有效的管理和改善患者的治疗结果至关重要.
研究的目的:
- 在患有慢性阻塞性肺病 (COPD) 病史的患者中呈现异常性慢性菌性肺炎 (ICEP) 病例.
- 为了说明ICEP的诊断考虑和成功治疗.
- 强调皮质类固醇在治疗肺部异氨基酸性疾病中的作用.
主要方法:
- 案例报告的呈现方式.
- 对临床,实验室和放射数据的审查.
- 用皮质类固醇进行治疗干预.
主要成果:
- 这位患者有COPD病史,被诊断患有异常性慢性乙酸性肺炎.
- 肺部症状和埃索诺菲利亚在皮质类固醇治疗后得到缓解.
- 证明了皮质类固醇在治疗ICEP的有效性,即使是在患有COPD的患者中.
结论:
- 异形性慢性埃索诺菲尔性肺炎可能发生在患有COPD的患者中.
- 皮质类固醇治疗是ICEP的有效治疗方法,导致症状和eosinophilia的解决.
- 系统的评估是诊断和管理肺异性病的关键.
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