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Bronchiolitis Obliterans Organizing Pneumonia and Myelodysplastic Syndrome-A Case Report

阻塞細支氣管炎及組織化肺炎(BOOP)合併骨髓不全症候群(MDS)-一病例報告

摘要


阻塞細支氣管炎及組織化肺炎(BOOP)是屬於肺間質性疾病,而不是氣道阻塞性疾病,臨床上並不少見。關於Boop及骨髓不全症侯群(MDS)同時發生的病例,文獻至今只有一篇報告。在此,我們報告另一病例-Boop合併MDS:病患為一65歲女性,因發燒、咳嗽及氣促,且血液中血小板減少,經由肺切片及骨髓檢查,診斷為Boop及MDS。經由類固醇治療,病患發燒及氣促等臨床症狀大為減緩。Boop及MDS之間是否有因果關係至今尚未定論,抑或二者只是偶發同時存在,其結論仍有待進一步探討。

並列摘要


A 65-year-old female developed an episode of fever, productive cough and dyspnea. The anemia and thrombocytopenia were coincidently found. Chest roentgenogram disclosed diffuse interstitial infiltration over both lung fields. After open lung biopsy and bone marrow biopsy, she was diagnosed as a victim of bronchiolitis obliterans organizing pneumonia (BOOP) and myelodysplastic syndrome (MDS). The treatment with prednisone has gained some improvement in symptoms of BOOP.

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