与慢性肝病相关的间歇性肺病
Övgü Velioğlu Yakut1, Miraç Öz1, Öznur Yıldız1
1Department of Chest Diseases, Ankara University Faculty of Medicine, Ankara, Türkiye.
Tuberkuloz ve toraks
|December 28, 2023
概括
这一案例突显了慢性肝病患者的淋巴细胞间歇性肺炎 (LIP). 这些发现强调了在肝硬化患者有呼吸道症状时考虑LIP的重要性.
科学领域:
- 肺部病理学 肺部病理学
- 肝病学 肝病学是一种肝病学.
- 病理学 病理学 病理学
背景情况:
- 在慢性肝病 (肝水胸,肝肺综合征) 中区分限制性肺部变化与间歇性肺部疾病 (ILD) 是至关重要的.
- 淋巴细胞间歇性肺炎 (LIP) 是一种罕见的异常性间歇性肺炎,其特征是淋巴细胞透肺间歇体.
- 虽然LIP存在各种病因,但慢性肝病是不常见的原因.
研究的目的:
- 为了呈现一种罕见的淋巴细胞间歇性肺炎 (LIP) 病例,这是慢性肝病的次要病例.
- 突出诊断挑战和临床放射学的方法在诊断LIP没有他的病理学确认.
- 在临床实践中强调慢性肝病和LIP之间的关联.
主要方法:
- 一份病例报告显示,一名75岁的男性患者患有肝硬化,出现呼吸障碍和低氧化症.
- 胸部和腹部计算机断层扫描 (CT) 显示了与ILD一致的发现,包括不规则的网膜和地面玻璃不透明.
- 临床和放射学发现被用来诊断由于慢性肝病导致的LIP,因为组织病理学确认是不可行的.
主要成果:
- 患者出现呼吸不全和低氧化症,CT显示双边肺部异常,暗示ILD.
- 放射学发现与LIP兼容,临床背景支持慢性肝病作为病因.
- 根据临床和放射学证据确立了LIP的诊断,尽管没有肺活检.
结论:
- 淋巴细胞间歇性肺炎 (LIP) 可能是慢性肝病的罕见表现.
- 临床和放射学发现可能足以诊断LIP在他的病理学无法获得的情况下.
- 这一案例强调了在慢性肝病和肝硬化患者呼吸道症状的差异诊断中需要考虑LIP的必要性.
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