- 期刊
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
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。
並列摘要
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.
延伸閱讀
- Lin, S. S., Chen, Y. C., Chen, W. Y., & Kao, S. J. (2014). 以支氣管內病灶為表現的後天免疫缺乏症候群相關之肺內卡波西氏肉瘤－病例報告及文獻回顧. 胸腔醫學, 29(3), 174-181. https://www.airitilibrary.com/Article/Detail?DocID=10239855-201406-201405160018-201405160018-174-181
- Hsu, J. W., & Chiang, C. D. (1996). 肺白黴病併後支氣管帶增厚：胸部X光表徵之病例報告. The Kaohsiung Journal of Medical Sciences, 12(10), 595-600. https://doi.org/10.6452/KJMS.199610.0595
- Lee, P. C., Lin, J. H., Lin, C. H., Chien, S. T., Hsu, J. Y., & Feng, N. H. (2005). 阻塞性細支氣管炎併機化性肺炎併發氣胸. Journal of the Formosan Medical Association, 104(3), 190-193. https://doi.org/10.29828/JFMA.200503.0008
- Tsai, K. D., Hang, L. W., Cheng, W. E., & Hsia, T. C. (2002). 以支氣管擴張症和反復肺部感染表現的Good's症候群：一病例報告. 胸腔醫學, 17(2), 182-186. https://www.airitilibrary.com/Article/Detail?DocID=10239855-200206-17-2-182-186-a
- Su, W. L., Chen, C. W., Tsai, C. L., Wu, M. C., Soh, L. H., & Wu, C. P. (2004). 次發性修格蘭症候群併發多發性肺囊腫及淋巴性間質性肺炎－一病例報告及文獻回顧. 胸腔醫學, 19(6), 509-516. https://doi.org/10.29806/TM.200412.0012