中国循证儿科杂志2013，Vol.8Issue(2)：140-144,5.DOI:10.3969/j.issn.1673-5501.2013.02.012
儿童过敏性肺炎1例并文献复习
Hypersensitivity pneumonitis in children: one case report and literature review
刘秀云 1彭芸 1赵志鹏 1周春菊1
作者信息
- 1. 首都医科大学附属北京儿童医院呼吸科,北京,100045
- 折叠
摘要
Abstract
Objective To understand the clinical and pathologic features of the hypersensitivity pneumonitis in children. Methods A case of nine years and six months old girl with hypersensitivity pneumonitis admitted to Beijing Children'Hospital in the April of 2012 was reviewed. Results The symptoms were cough for 4 months, short breath, no sputum and fevers, no dyspnean or digital clubbing. The diffused micronodules were found in the high-resolution CT of the bilateral lung. The cellular bronchiolitis and bronchiolocentric lymphocytic pneumonitis were presented in the pathology of the lung , the abundant foamy cells in the interstitium and giant cells in the interstitial spaces also were found in the pathology. No evidence of the tuberclusis and virus infection and connective tissue disease was found. The symptoms and abnormal of the HRCT findings were improved after 26 days avoidance of the environment exposure, and were improved evidently after two-week treatment of the corticosteroid. The patient was recovered almost completely after two months of the treatment. Conclusions The manifestation of the subacute hypersensitivity pneumonitis in the HRCT is diffused micronodules. Subacute hypersensitivity pneumonitis in children is well reponsible to the treatment of corticosteroid. Histological diagnosis of the hypersensitivity pneumonitis is predicated on the recognition of the poor formed granulomatous or giant cells in the interstitial spaces.关键词
过敏性肺炎/高分辨CT/病理/儿童Key words
Hypersensitivity pneumonitis/ HRCT/ Pathology/ Children引用本文复制引用
刘秀云,彭芸,赵志鹏,周春菊..儿童过敏性肺炎1例并文献复习[J].中国循证儿科杂志,2013,8(2):140-144,5.
